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

Individual provider Surgery Physician · NPI 1275526386

John Sargent Kennedy, MD is a General Surgery in Decatur, Georgia. Graduated from Temple University School of Medicine in 1982, 44 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
44
Trained at
Temple University School of Medicine
Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2665 N Decatur Rd Ste 730
Decatur, GA 30033-6149
Phone: (404) 508-4320
Fax: (404) 508-4112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1462 Montreal Rd Ste 303, Tucker, GA 30084-6924 — (404) 508-4320

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 25193 (GA)

Record details

NPI number1275526386
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2005
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Decatur