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

Kennedy Tiner

Individual provider Hospice Registered Nurse · NPI 1639065956

Kennedy Tiner is a Nurse Practitioner in Augusta, Georgia. Qualified in 2025, 1 year ago. Practices with Ultra Health Providers II LLC, a 36-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2025

Practice location Address checks out

2945 Walton Way
Augusta, GA 30909-3827
Phone: (706) 434-0421
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice Registered Nurse (primary) Taxonomy 163WH1000X · Licence RN295362 (GA)

Record details

NPI number1639065956
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 13, 2025
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ultra Health Providers Ii Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount