| Mrs Danna-grace Kennedy, PA | |
|
1255 Highway 54 W, Fayetteville, GA 30214-4526 | |
| (770) 716-0051 | |
| Not Available |
| Full Name | Mrs Danna-grace Kennedy |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 1255 Highway 54 W, Fayetteville, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033979828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 12232 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
| Piedmont Eastside Medical Center | Snellville, GA | Hospital |
| Northside Hospital Duluth | Duluth, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Cv Professional Services Llc | 4880003771 | 53 |
| Entity Name | Piedmont Cardiology of Atlanta, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275729691 PECOS PAC ID: 0345321691 Enrollment ID: O20080114000153 |
| Entity Name | Northside CV Professional Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821612938 PECOS PAC ID: 4880003771 Enrollment ID: O20210505001504 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Danna-grace Kennedy, PA 142 Brix Dr, Locust Grove, GA 30248-2643 Ph: (770) 842-9133 | Mrs Danna-grace Kennedy, PA 1255 Highway 54 W, Fayetteville, GA 30214-4526 Ph: (770) 716-0051 |
Cynthia M Smith, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1275 Highway 54 W Ste 201, Fayetteville, GA 30214 Phone: 770-461-3776 Fax: 770-461-3565 |
Ashlee Block, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Yorktown Dr, Fayetteville, GA 30214 Phone: 678-593-9020 |
Nancy Welch Graf, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Yorktown Dr Ste 102, Fayetteville, GA 30214 Phone: 770-460-4281 |
Dr. John Edward Donohue Ii, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 427 Porter Rd, Fayetteville, GA 30215 Phone: 770-716-8206 |
April Mackenzie Dumas, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 343 Rising Star Rd, Fayetteville, GA 30215 Phone: 770-315-6736 |
Ms. Angela Ward Cubin, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1265 Highway 54 W Ste 103, Fayetteville, GA 30214 Phone: 470-514-5538 Fax: 470-514-5561 |
Jason David Kranenburg, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1415 Highway 85 N Ste 310-147, Fayetteville, GA 30214 Phone: 937-570-2426 |