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STACI N KENNER M.D.
NPI 1104088061
Obstetrics & Gynecology in Cartersville, GA

Active since July 01, 2008PECOS EnrolledAccepts Medicare Assignment
95B-A, J.F. HARRIS PKWY, SUITE 102, CARTERSVILLE, GA 30120(770) 386-4824(770) 386-4220 Get Directions Write a Review

NPPES record last updated: December 13, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Staci N Kenner M.d. NPPES

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

STACI N KENNER M.D. (NPI 1104088061) is an individual obstetrics & gynecology provider in Cartersville, Georgia, licensed in Texas (BPI0030889) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2008).

NPPES Registry Identity

NPI1104088061
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSTACI N KENNERCredential: M.D.
Location Address95B-A, J.F. HARRIS PKWY, SUITE 102Cartersville, GA 30120-2158
Mailing Address95b-a, J.f. Harris Pkwy, Suite 102Cartersville, GA 30120-2158 · (770) 386-4824 · Fax (770) 386-4220
Phone(770) 386-4824
Fax(770) 386-4220
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2008
Enumeration DateJuly 1, 2008
Last NPPES UpdateDecember 13, 2013
✔ NPI 1104088061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · BPI0030889
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
95B-A, J.F. HARRIS PKWY, Cartersville, GA 30120
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Other Identifiers 1

Medicaid00312B113AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Staci N Kenner M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901055086
PECOS Enrollment IDI20121004000625
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Staci Kenner's NPI number?

The NPI number for Staci Kenner is 1104088061. It was assigned to this individual provider in the NPPES registry on July 1, 2008.

Where is Staci Kenner located?

Staci Kenner practices at 95b-A, J.F. Harris Pkwy Suite 102, Cartersville, GA 30120. The listed phone number is (770) 386-4824.

What is Staci Kenner's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Staci Kenner enrolled in Medicare?

Yes. Staci Kenner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Staci Kenner accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Staci Kenner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Staci Kenner was last updated on December 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.