Mr Kenneth Dale Autry, FNP - Family Medicine in Griffin, GA

Mr Kenneth Dale Autry, FNP is a Family Medicine physician based in Griffin, Georgia. Mr Kenneth Dale Autry is licensed to practice in Georgia (license number RN162470) and his current practice location is 726 S 8th St, Griffin, Georgia. He can be reached at his office (for appointments etc.) via phone at (770) 228-2273.

NPI number for Mr Kenneth Dale Autry is 1083351464 and his current mailing address is 83 Moore Rd, Griffin, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083351464.

Contact Information

Mr Kenneth Dale Autry, FNP
726 S 8th St,
Griffin, GA 30224-4827
(770) 228-2273
Not Available



Physician's Profile

Full NameMr Kenneth Dale Autry
GenderMale
SpecialityFamily Medicine
Location726 S 8th St, Griffin, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083351464
  • Provider Enumeration Date: 05/17/2022
  • Last Update Date: 05/17/2022

Medical Identifiers

Medical identifiers for Mr Kenneth Dale Autry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083351464NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine RN162470 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kenneth Dale Autry is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kenneth Dale Autry, FNP
83 Moore Rd,
Griffin, GA 30223-5526

Ph: () -
Mr Kenneth Dale Autry, FNP
726 S 8th St,
Griffin, GA 30224-4827

Ph: (770) 228-2273

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› Verified 2 days ago


Family Medicine Doctors in Griffin, GA

Vicki Lyndall Van, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 747 S Hill St, Griffin, GA 30224
Phone: 770-228-5407    
David Anthony De La Sierra, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 528 S 8th St, Griffin, GA 30224
Phone: 770-467-1224    Fax: 770-467-1225
Kyong Rok Moon, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1657 N Expressway, Griffin, GA 30223
Phone: 770-228-2641    Fax: 770-467-9764
James Gore, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1657 N Expressway, Griffin, GA 30223
Phone: 770-228-2641    Fax: 770-467-9764
Erin Kathleen Jones, MSN, APRN, FNP-BC
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 747 S Hill St, Griffin, GA 30224
Phone: 770-228-5707    
Osara Dhevmi Malalasekara, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 708 S 8th St, Griffin, GA 30224
Phone: 770-228-5402    

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