Johannah Kennedy, PA-C
NPI 1235935123 · Physician Assistant · Southfield, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Johannah Kennedy, PA-C is a Physician Assistant provider in Southfield, MI (NPI 1235935123).
Provider details
- NPI number
- 1235935123
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601013016 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (4)
- 31450 7 Mile RdLivonia, MI 48152-1374Phone: (248) 569-5985
- 27483 Dequindre Rd Ste 201Madison Heights, MI 48071-5711Phone: (248) 569-5985
- 26850 Providence Pkwy Ste 165Novi, MI 48374-1255Phone: (248) 569-5985
- 26110 Harper AveSaint Clair Shores, MI 48081-3774Phone: (248) 569-5985
Registry dates
- Enumerated
- 2025-02-21
- Last updated
- 2025-02-21
- Certified
- 2025-02-20
Frequently asked questions
- What is Johannah Kennedy's NPI number?
- Johannah Kennedy's National Provider Identifier (NPI) is 1235935123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Johannah Kennedy's specialty?
- Johannah Kennedy is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Johannah Kennedy located?
- Johannah Kennedy's practice location on file with NPPES is 29201 Telegraph Rd Ste 500, Southfield, MI 48034-7648.
- What is Johannah Kennedy's phone number?
- The practice phone number listed in the NPPES registry for Johannah Kennedy is (248) 569-5985.
- Does Johannah Kennedy accept Medicare?
- Johannah Kennedy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Johannah Kennedy's NPI active?
- Yes — Johannah Kennedy's NPI (1235935123) is active in the NPPES registry as of the last update on 2025-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.