DR. PHILIP R KENNEDY MD
NPI 1912903485
Psychiatry & Neurology - Neurology in Duluth, GA

NPI Status: Active since June 21, 2005

Contact Information

3400 MCCLURE BRIDGE RD
SUITE D401
DULUTH, GA
ZIP 30096
Phone: (770) 622-2230
Fax: (770) 622-9741

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Neurology
  • PECOS Enrolled

About PHILIP KENNEDY

This page provides the complete NPI Profile along with additional information for Philip Kennedy, a provider established in Duluth, Georgia with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1912903485 assigned on June 2005. The practitioner's primary taxonomy code is 2084N0400X with license number GA03970B (GA). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1912903485
Provider Name
DR. PHILIP R KENNEDY MD
Gender
Male
Entity Type
Individual
Location Address
3400 MCCLURE BRIDGE RD SUITE D401 DULUTH, GA 30096
Location Phone
(770) 622-2230
Location Fax
(770) 622-9741
Mailing Address
3400 MCCLURE BRIDGE RD SUITE D401 DULUTH, GA 30096
Mailing Phone
(770) 622-2230
Mailing Fax
(770) 622-9741
Is Sole Proprietor?
Yes
Enumeration Date
06-21-2005
Last Update Date
01-23-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
GA03970B
License State
GA
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000772813AMEDICAID (05)GA 
GRP4308MEDICARE ID-TYPE UNSPECIFIED (04)GA 
G54510MEDICARE UPIN (02)GA 

Medicare Participation & PECOS Enrollment Status

Philip Kennedy is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE001N)

    Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)

    3 DME suppliers used 11 Medicare Claims 11 Services Paid

  • DME-Other DME (DE001N)

    Headgear used with positive airway pressure device (HCPCS:A7035)

    4 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Other DME (DE001N)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    4 DME suppliers used 15 Medicare Claims 90 Services Paid

  • DME-Other DME (DE001N)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    5 DME suppliers used 19 Medicare Claims 19 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 79 times for 58 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 106 times for 68 patients

Measurement of brain wave activity (eeg), awake and drowsy

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

This service was performed 12 times for 12 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 11 times for 11 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 29 times for 29 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 30096 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $130.64
  • Minimum New Patient Price $56.84
  • Maximum New Patient Price $172.43
  • Average New Patient Copayment $32.66
  • Minimum New Patient Copayment $14.21
  • Maximum New Patient Copayment $43.1

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.2
  • Minimum Established Patient Price $18.22
  • Maximum Established Patient Price $140.4
  • Average Established Patient Copayment $25.05
  • Minimum Established Patient Copayment $4.55
  • Maximum Established Patient Copayment $35.1

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1912903485
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29221806416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 1 + 8 + 0 + 6 + 4 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1912903485 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619959756 ELLIOTT BUTLER PA-C
Individual
Physician Assistant (Surgical)3400 MCCLURE BRIDGE RD B201
DULUTH, GA 30096
(678) 957-8801
1851373740 DINA FORSTHOFFER DLUGOS PA-C
Individual
Physician Assistant (Surgical)3400 MCCLURE BRIDGE RD B201
DULUTH, GA 30096
(678) 957-8801
1932174216DR. FRANCISCO J NEGRI MD
Individual
Surgery3400 MCCLURE BRIDGE RD BUILDING B201
DULUTH, GA 30096
(678) 957-8801
1689691495NEURAL SIGNALS INC
Organization
Durable Medical Equipment & Medical Supplies (Customized Equipment)3400 MCCLURE BRIDGE RD BLDG D SUITE B
DULUTH, GA 30096
(770) 220-9964
1417977885SURGICAL ASSISTANTS OF AMERICA, INC.
Organization
Surgery3400 MCCLURE BRIDGE RD BUILDING B201
DULUTH, GA 30096
(678) 957-8801
1902818032 MICHELLE MORANTE P.A.
Individual
Physician Assistant (Surgical)3400 MCCLURE BRIDGE RD BUILDING B
DULUTH, GA 30096
(678) 957-8801
1871688317DR. JAMES CLINTON CRONAN JR. M.D.
Individual
Surgery3400 MCCLURE BRIDGE RD BUILDING B201
DULUTH, GA 30096
(678) 957-8801
1164614608COMMUNITY NEUROLOGICAL CLINIC
Organization
Specialist3400 MCCLURE BRIDGE RD SUITE D401
DULUTH, GA 30096
(770) 622-2230
1154586667MBS CONNECTION LLC
Organization
Clinic/Center (Health Service)3400 MCCLURE BRIDGE RD BLDG F, STE A
DULUTH, GA 30096
(678) 371-6463
1972889491HAND TO SHOULDER THERAPY SPECIALISTS OF DULUTH
Organization
Occupational Therapist (Hand)3400 MCCLURE BRIDGE RD F601
DULUTH, GA 30096
(678) 682-8828
1811942857DR. YOON JAE LEE M.D.
Individual
Internal Medicine (Gastroenterology)3400 MCCLURE BRIDGE RD A102
DULUTH, GA 30096
(678) 473-1445
1679960884ALLYS SERNIOR SERVICES, INC.
Organization
Health Maintenance Organization3400 MCCLURE BRIDGE RD BUILDING C-301
DULUTH, GA 30096
(404) 839-3631
1063860740ALPHA RECOVERY GROUP INC
Organization
Clinic/Center (Methadone)3400 MCCLURE BRIDGE RD BUILDING C, SUIT A&B
DULUTH, GA 30096
(770) 896-6730
1588641906SURGICAL
Organization
Physician Assistant (Surgical)3400 MCCLURE BRIDGE RD BUILDING B
DULUTH, GA 30096
(678) 957-8801
1346382678DR. RAMANI GOWDUCHERUVU DDS
Individual
Dentist (Oral and Maxillofacial Surgery)3400 MCCLURE BRIDGE RD BLDG G, SUITES B AND C
DULUTH, GA 30096
(770) 476-8576
1558115485NORTH GEORGIA ORAL AND FACIAL SURGERY LLC
Organization
Dentist (Oral and Maxillofacial Surgery)3400 MCCLURE BRIDGE RD BLDG G, SUITES B AND C
DULUTH, GA 30096
(770) 476-8576
1750993655GWINNETT BREASTFEEDING, LLC
Organization
Lactation Consultant, Non-RN3400 MCCLURE BRIDGE RD BUILDING C, UNIT A
DULUTH, GA 30096
(678) 750-3121
1285793372DR. GLEN C MCINTOSH D.D.S.
Individual
Dentist (Oral and Maxillofacial Pathology)3400 MCCLURE BRIDGE RD BUILDING G, SUITE B
DULUTH, GA 30096
(770) 476-8576

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912903485, enumerated in the NPI registry as an "individual" on June 21, 2005

The provider is located at 3400 Mcclure Bridge Rd Suite D401 Duluth, Ga 30096 and the phone number is (770) 622-2230

The provider's speciality is Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $130.64 with an average copayment of $32.66 for new patient appointments. Established patients should expect a typical charge of $100.2 and an average copayment of 25.05. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Measurement of brain wave activity (eeg), awake and drowsy, New patient office or other outpatient visit, 45-59 minutes and New patient office or other outpatient visit, 60-74 minutes.

This NPI record was last updated on June 21, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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