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

Michael Gilbert Kennedy, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265842223

Michael Gilbert Kennedy, MD is a General Surgery in Germantown, Tennessee. Graduated from Wayne State University School of Medicine in 2014, 12 years ago. Practices with UT Methodist Physicians LLC, a 124-clinician group and accepts Medicare assignment. Licensed in Georgia and Tennessee.

Years since qualifying
12
Trained at
Wayne State University School of Medicine
Licensed in
GA, TN
In the registry since
2014
Specialties on file
3
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

7705 Poplar Ave Ste 310
Germantown, TN 38138-3930
Phone: (901) 516-6300
Fax: (901) 516-6350
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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 73074 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Surgery Physician Taxonomy 208600000X · Licence 85019 (GA)

Record details

NPI number1265842223
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 30, 2014
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025
Mailing address1211 Union Ave Ste 330, Memphis, TN 38104-6655

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Ut Methodist Physicians Llc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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