Andre Johnathan Kennedy (NPI# 1962900357, PAC ID# 0648531533) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1962900357 |
| PAC ID by PECOS | 0648531533 |
| Professional Enrollment ID | I20180312001248 |
| Full Name | Andre Johnathan Kennedy |
| Organization Legal Name | CAROLINA UROLOGY PARTNERS PLLC |
| Address |
111 W Hospital Dr West Columbia SC 29169-3405 |
| Phone Number | 8037969968 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8921280587 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420073 | LEXINGTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1780 Medical Park Dr, Rock Hill, SC 29732-1194 | 8033271116 | CAROLINA UROLOGY PARTNERS PLLC |
| 111 W Hospital Dr, West Columbia, SC 29169-3405 | 8037969968 | CAROLINA UROLOGY PARTNERS PLLC |
| Organization Legal Name | CAROLINA UROLOGY PARTNERS PLLC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Waller Starnes | Nurse Practitioner | Carolina Urology Partners Pllc | 631 Cox Rd, Gastonia, NC 28054-3438 |
| Griffin Thomas Morrisson | Urology | Carolina Urology Partners Pllc | 111 W Hospital Dr, West Columbia, SC 29169-3405 |
| Beth Tara Winkley | Physician Assistant | Carolina Urology Partners Pllc | 1084 Vinehaven Nedr, Concord, NC 28025-2438 |
| Nichole Marie Flowers | Nurse Practitioner | Carolina Urology Partners Pllc | 139 Summerplace Dr, West Columbia, SC 29169-3058 |
| Janice Parker Jolley | Nurse Practitioner | Carolina Urology Partners Pllc | 1001 N Washington St, Shelby, NC 28150-1800 |
| Todd Douglas Cohen | Urology | Carolina Urology Partners Pllc | 924 Cox Rd, Gastonia, NC 28054-3456 |
| Keith Eric Brightbill Ii | Urology | Carolina Urology Partners Pllc | 1780 Medical Park Dr, Rock Hill, SC 29732-1194 |
| Mary Jane Gerstein | Nurse Practitioner | Carolina Urology Partners Pllc | 631 Cox Rd, Gastonia, NC 28054-3438 |
| Amanda Drake Myers | Nurse Practitioner | Carolina Urology Partners Pllc | 12610 N Community House Rd, Suite 100, Charlotte, NC 28277-3892 |
| Scott Merritt Sweazy | Urology | Carolina Urology Partners Pllc | 1780 Medical Park Dr, Rock Hill, SC 29732-1194 |
| Street Address |
111 W HOSPITAL DR |
| City | WEST COLUMBIA |
| State | SC |
| Zip | 29169-3405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Griffin Thomas Morrisson | Urology | Carolina Urology Partners Pllc | 111 W Hospital Dr, West Columbia, SC 29169-3405 |
| James Roderick Lucas | Physician Assistant | Carolina Urology Partners Pllc | 111 W Hospital Dr, West Columbia, SC 29169-3405 |
| Melissa Jean Cardwell | Nurse Practitioner | Carolina Urology Partners Pllc | 111 W Hospital Dr, West Columbia, SC 29169-3405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Matthew Hypes | Ophthalmology | Palmetto Retina Center LLC | 124 Sunset Ct, West Columbia, SC 29169-2429 |
| Elizabeth M Mcmicken | Nurse Practitioner | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Pattie M Farlow | Nurse Practitioner | Lexington County Health Services District Inc | 132 Sunset Ct, West Columbia, SC 29169-2429 |
| Gwendolyn C Galphin | Internal Medicine | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| William Andrew Little | Nurse Practitioner | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Swathi Beeravolu | Endocrinology | Lexington County Health Services District Inc | 132 Sunset Ct, West Columbia, SC 29169-2429 |
| Gayatri Kuraganti | Endocrinology | Lexington County Health Services District Inc | 132 Sunset Ct, West Columbia, SC 29169-2429 |
| John M Lazaro | Internal Medicine | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Vijay A Koli | Internal Medicine | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Brent Michael Powers | Internal Medicine | Lexington County Health Services District Inc | 131 Sunset Ct, West Columbia, SC 29169-2429 |
| Find all physicians in zip 29169 | |||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WEST COLUMBIA + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.