MEDICARE: DR. DENISE SMITH KENNEDY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	43984	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CH0654	OTHER	GA	RR MEDICARE GROUP PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	10056139	OTHER	GA	AMERIGROUP
4	336987	OTHER	GA	WELLCARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104867191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENISE SMITH KENNEDY MD

Provider Business Mailing Address
First Line	:	PO BOX 2510
Second Line	:
City	:	EVANS
State	:	GA
Zip	:	30809-2510
Country	:	US
Telephone Number	:	706-922-8251
Fax Number	:	706-650-9540

Provider Business Practice Location Address
First Line	:	254 FURYS FERRY RD
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30907-3118
Country	:	US
Telephone Number	:	706-986-0999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	04/17/2026

Similar Medicare Providers

1255169173 — DR. LINDA ALICE BARTLETT MD, MHSC.
Practice Location Address:

254 FURYS FERRY RD
AUGUSTA, GA
30907-3118

Practice Phone: 706-986-0999
Practice Fax:

1619742160 — ALISSA GAIL BABCOCK AGNP-C
Practice Location Address:

254 FURYS FERRY RD
AUGUSTA, GA
30907-3118

Practice Phone: 706-986-0999
Practice Fax:

1477958288 — MRS. STEPHANIE BRIENZO PA-C
Practice Location Address:

254 FURYS FERRY RD
AUGUSTA, GA
30907-3118

Practice Phone: 706-986-0999
Practice Fax:

1346186624 — BRINKLEY RAMSEY
Practice Location Address:

508 BRIANS WAY
AUGUSTA, GA
30907-3213

Practice Phone: 706-631-9951
Practice Fax:

1699612218 — ISABELLA ADRIANA LOFFA
Practice Location Address:

3730 WASHINGTON RD
AUGUSTA, GA
30907-4196

Practice Phone: 706-471-0603
Practice Fax:

1184569634 — DR. AKOSA AKPOM DMD
Practice Location Address:

680 CRANE CREEK DR APT 815
AUGUSTA, GA
30907-3098

Practice Phone: 678-982-1964
Practice Fax:

Directions to “ DR. DENISE SMITH KENNEDY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.