P Praxis·MD
● Active Type 1 · Individual

John Daniel Kennedy, M.D.

Surgery·Marietta, GA· NPI 1568664258 · Enumerated 2007 · 18 years on NPI
Kennedy is 1 of 29 surgery providers in Marietta and 1 of 1389 in Georgia.
NPI age
18 years
Enumerated 2007-06-04
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-07-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1389 active surgery providers in Georgia.

NPI age
18 years
≈ at median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
1650 County Services Pkwy Sw
Marietta, GA 300084010
📞 7705142300
Mailing address
1650 County Services Pkwy Sw
Marietta, GA 300084010
📞 7705142300

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    GA license #022573 taxonomy 208600000X

Identifiers

TypeValueNotes
05 (GA) PENDING

Practice context

Part of a multi-provider practice. 45 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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