| Sheryl Ann Kennedy, FNP-BC | |
|
8 Eastbrook Bend, Suite B, Peach Tree City, GA 30269 | |
| (770) 487-2273 | |
| (770) 487-2228 |
| Full Name | Sheryl Ann Kennedy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 8 Eastbrook Bend, Peach Tree City, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821151978 | NPI | - | NPPES |
| 942218511C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN070145 (Georgia) | Primary |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | Southeast Medical Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20040423000347 |
| Entity Name | Emory Specialty Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
| Entity Name | Peachtree City Urgent Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336388636 PECOS PAC ID: 3971655705 Enrollment ID: O20090709000044 |
| Entity Name | Wellstreet Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235411547 PECOS PAC ID: 7517126279 Enrollment ID: O20120315000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Sheryl Ann Kennedy, FNP-BC 8 Eastbrook Bend, Suite B, Peach Tree City, GA 30269 Ph: (770) 487-2273 | Sheryl Ann Kennedy, FNP-BC 8 Eastbrook Bend, Suite B, Peach Tree City, GA 30269 Ph: (770) 487-2273 |