Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Callie Kennedy

Individual provider Anesthesiologist Assistant · NPI 1023412640

Callie Kennedy is an Anesthesiology Assistant in Fayetteville, Georgia. Qualified in 2014, 12 years ago. Practices with Piedmont Anesthesia LLC, a 554-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Licensed in
GA
In the registry since
2014
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Practice location Address checks out

1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone: (770) 719-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 6385 (GA)

Record details

NPI number1023412640
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2014
Last updated in NPPESOctober 9, 2014
Mailing address1968 Peachtree Rd Nw, Atlanta, GA 30309-1281

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Piedmont Anesthesia Llc — 554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fayetteville