Individual
DR. DENISE SMITH KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
254 FURYS FERRY RD, AUGUSTA, GA 30907-3118
(706) 986-0999
Mailing address
PO BOX 2510, EVANS, GA 30809-2510
(706) 922-8251
(706) 650-9540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
043984
GA
207Q00000X
Family Medicine Physician
Primary
43984
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00793955A
—
GA
01
—
043984
LICENSE
GA
01
—
10056139
AMERIGROUP
GA
01
—
336987
WELLCARE
GA
01
—
CH0654
RR MEDICARE GROUP PIN
GA
05
—
G43984
—
SC
Enumeration date
06/09/2006
Last updated
04/17/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us