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MR. KENNETH DALE AUTRY FNP
NPI 1083351464
Family Medicine in Griffin, GA

Active since May 17, 2022
726 S 8TH ST, GRIFFIN, GA 30224(770) 228-2273 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kenneth Dale Autry Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH DALE AUTRY FNP (NPI 1083351464) is an individual family medicine provider in Griffin, Georgia, licensed in Georgia (RN162470) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1083351464
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. KENNETH DALE AUTRYCredential: FNP
Location Address726 S 8TH STGriffin, GA 30224-4827
Mailing Address83 Moore RdGriffin, GA 30223-5526
Phone(770) 228-2273
Sole ProprietorYes
Enumeration DateMay 17, 2022
NPPES CertifiedMay 17, 2022
✔ NPI 1083351464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · RN162470
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
726 S 8TH ST, Griffin, GA 30224
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLA D BOYT FNP-C
Nurse Practitioner (Family)
726 S 8TH ST
GRIFFIN, GA 30224
Spalding County (770) 228-5407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Autry's NPI number?

The NPI number for Kenneth Autry is 1083351464. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Where is Kenneth Autry located?

Kenneth Autry practices at 726 S 8th St, Griffin, GA 30224. The listed phone number is (770) 228-2273.

What is Kenneth Autry's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Autry was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.