| John Sargent Kennedy, MD | |
|
2665 N Decatur Rd, Suite 730, Decatur, GA 30033-6149 | |
| (404) 508-4320 | |
| (404) 508-4112 |
| Full Name | John Sargent Kennedy |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 43 Years |
| Location | 2665 N Decatur Rd, Decatur, 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 |
|---|---|---|---|
| 1275526386 | NPI | - | NPPES |
| 00280167C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 25193 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emory Decatur Hospital | Decatur, GA | Hospital |
| Northside Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Surgical Professional Services Llc | 8628253424 | 332 |
| Entity Name | Dekalb Surgical Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770532590 PECOS PAC ID: 7214840958 Enrollment ID: O20031110000299 |
| Entity Name | Northside Surgical Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598 |
| Mailing Address | Practice Location Address |
|---|---|
| John Sargent Kennedy, MD 2665 N Decatur Rd, Suite 730, Decatur, GA 30033-6149 Ph: (404) 508-4320 | John Sargent Kennedy, MD 2665 N Decatur Rd, Suite 730, Decatur, GA 30033-6149 Ph: (404) 508-4320 |
Barath Ram Badrinathan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-2930 | |
Dr. Eugene Orville Harrison, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2665 N Decatur Rd, Ste 350, Decatur, GA 30033 Phone: 404-501-7081 Fax: 404-419-1680 | |
Andrei Carol Stieber, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2665 N Decatur Rd, Suite 730, Decatur, GA 30033 Phone: 404-508-4320 | |
Julie F Mcgill, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1045 Sycamore Dr, Decatur, GA 30030 Phone: 404-501-7081 Fax: 404-419-1680 | |
Dr. Nimesh Navin Shah, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2675 N Decatur Rd, Suite 609, Decatur, GA 30033 Phone: 404-501-9170 Fax: 404-974-2699 | |
Madeline Dalton Roorbach, Surgery Medicare: May Accept Medicare Assignments Practice Location: 2665 N Decatur Rd Ste 130, Decatur, GA 30033 Phone: 404-501-7081 Fax: 404-501-1085 |