Mattie Kennedy, MD
NPI 1679364012 · Internal Medicine Physician · Augusta, GA
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mattie Kennedy, MD is a Internal Medicine Physician provider in Augusta, GA (NPI 1679364012).
Provider details
- NPI number
- 1679364012
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 17657 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
1 documented practice location
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
Registry dates
- Enumerated
- 2025-05-15
- Last updated
- 2025-05-15
- Certified
- 2025-05-15
Frequently asked questions
- What is Mattie Kennedy's NPI number?
- Mattie Kennedy's National Provider Identifier (NPI) is 1679364012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mattie Kennedy's specialty?
- Mattie Kennedy is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mattie Kennedy located?
- Mattie Kennedy's practice location on file with NPPES is 1469 Laney Walker Blvd, Augusta, GA 30912-0002.
- What is Mattie Kennedy's phone number?
- The practice phone number listed in the NPPES registry for Mattie Kennedy is (706) 721-2423.
- Does Mattie Kennedy accept Medicare?
- Mattie Kennedy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mattie Kennedy's NPI active?
- Yes — Mattie Kennedy's NPI (1679364012) is active in the NPPES registry as of the last update on 2025-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.