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

Kevin Lee Jensen, MD

Individual provider Surgery Physician · NPI 1497855779

Kevin Lee Jensen, MD is a General Surgery in Lawrenceville, Georgia. Graduated from University of Nebraska College of Medicine in 1985, 41 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
41
Trained at
University of Nebraska College of Medicine
Licensed in
GA
In the registry since
2006
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

743 Old Norcross Rd
Lawrenceville, GA 30046-4317
Phone: (770) 513-1763
Fax: (770) 513-2199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 28794 (GA)

Record details

NPI number1497855779
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 25, 2006
Last updated in NPPESApril 10, 2014
Mailing address743 Old Norcross Rd, Lawrenceville, GA 30046-4317

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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