NPI age
19 years
Enumerated 2006-06-09
● Active
Type 1 · Individual
DR. Phillip S Kennedy, MD
Kennedy is 1 of 192 family medicine providers in Augusta and 1 of 5448 in Georgia.
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-04-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5448 active family medicine providers in Georgia.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
3614 D J Dewey Gray Circle
Augusta, GA 30909
Mailing address
Po Box 2510
Evans, GA 308092510
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10056165 | AMERIGROUP |
| 01 (GA) | 336986 | WELLCARE |
| 01 | 43985 | GA MEDICAL LICENSE |
| 05 (GA) | 00793922A | |
| 01 (GA) | CH0654 | RR MEDICARE GROUP PIN |
| 05 (SC) | G43985 |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new family medicine provider has been added in Augusta in the last 180 days.
See all →
Provyx · Custom healthcare lists
Need all 5448 Family Medicine providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- 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.