| Steven Clark Kennedy, MD | |
|
4700 Battlefield Pkwy Ste 220, Ringgold, GA 30736-5168 | |
| (423) 698-8692 | |
| (423) 624-7813 |
| Full Name | Steven Clark Kennedy |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 28 Years |
| Location | 4700 Battlefield Pkwy Ste 220, Ringgold, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376537001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 37194 (Tennessee) | Secondary |
| 208600000X | Surgery | 072631 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Healthcare System, Inc | Chattanooga, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Health Partners Foundation, Inc | 8022919570 | 408 |
| Memorial Health Partners Foundation, Inc | 8022919570 | 408 |
| Entity Name | Memorial Health Partners Foundation, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922053545 PECOS PAC ID: 8022919570 Enrollment ID: O20040116000823 |
| Entity Name | Cookeville Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023397031 PECOS PAC ID: 7810805736 Enrollment ID: O20040921001310 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Clark Kennedy, MD 4700 Battlefield Pkwy Ste 220, Ringgold, GA 30736-5168 Ph: (423) 698-8692 | Steven Clark Kennedy, MD 4700 Battlefield Pkwy Ste 220, Ringgold, GA 30736-5168 Ph: (423) 698-8692 |
George Thomas Gilmore, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4700 Battlefield Pkwy, Suite 130, Ringgold, GA 30736 Phone: 706-866-2740 Fax: 706-861-3944 | |
Mrs. Katlind Marie Trimble, Surgery Medicare: Not Enrolled in Medicare Practice Location: 21 Amy Ln, Ringgold, GA 30736 Phone: 234-298-0099 |