NPI age
8 years
Enumerated 2017-12-19
● Active
Type 1 · Individual
Andrea M Kennedy
Kennedy is 1 of 9 physician assistant providers in Snellville and 1 of 640 in Georgia.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-12-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 640 active physician assistant providers in Georgia.
NPI age
8 years
↓ 5 yr below median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-12Enumerated in NPPES
2017
2026
Where they practice
Practice location
1700 Medical Way
Snellville, GA 300782195
Mailing address
2311 Ridge Forest Dr
Grayson, GA 300171718
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1000 Medical Center Blvd
Lawrenceville, GA 300467694
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
Specialist/Technologist, OtherA surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting,...
Practice context
Part of a multi-provider practice. 127 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.