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DR. KENNY R SINERVO M.D. NPI 1508936964


NPI Information

NPI: 1508936964
Provider Name: DR. KENNY R SINERVO, M.D.
Classification: Obstetrics & Gynecology - 207VF0040X
Entity Type: Individual

Specialization: Female Pelvic Medicine and Reconstructive Surgery

PECOS Registration: Yes

CLIA Number: 11D0663784

Address:
6105 PEACHTREE DUNWOODY RD
BLDG. B; SUITE 230
ATLANTA, GA
ZIP 30328
Phone: (770) 913-0001
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DR. Kenny R Sinervo, M.D. is a female pelvic medicine and reconstructive surgery obstetrics gynecology in Atlanta, GA. The provider is a subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. DR. Kenny R Sinervo, M.D. NPI is 1508936964. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6105 PEACHTREE DUNWOODY RD
BLDG. B; SUITE 230
ATLANTA, GA
ZIP 30328
Phone: (770) 913-0001
Fax: (770) 913-0005

The NPI 1508936964 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 11D0663784 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/9/2006 and was last updated on 10/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecology48574GEORGIANo
2207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery48574GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H84895MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.