Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mia Patricia Georgia Kennedy, PA-C

Individual provider Physician Assistant · NPI 1639947948

Mia Patricia Georgia Kennedy, PA-C is a Physician Assistant in Warrensburg, New York. Graduated from State University of Ny Upstate Medical University in 2023, 3 years ago. Practices with Hudson Headwaters Health Network, a 218-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3767 Main St
Warrensburg, NY 12885-1890
Phone: (518) 623-2844
Fax: (518) 623-3416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Broad St, Glens Falls, NY 12801-4349 — (518) 792-2223

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 030885 (NY)

Record details

NPI number1639947948
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 15, 2023
Last updated in NPPESFebruary 14, 2024
Certification dateFebruary 14, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2023 (3 years in practice)
Group practice Hudson Headwaters Health Network — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Warrensburg