Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Danna-Grace Kennedy, PA

Individual provider Physician Assistant · NPI 1033979828

Mrs. Danna-Grace Kennedy, PA is a Physician Assistant in Fayetteville, Georgia. Qualified in 2023, 3 years ago. Practices with Northside Cv Professional Services LLC, a 53-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone: (770) 716-0051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2200 Medical Center Blvd Ste 400, Lawrenceville, GA 30046-7769 — (770) 758-7482

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12232 (GA)

Record details

NPI number1033979828
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 20, 2024
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northside Cv Professional Services Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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