KASHONDRA DENAE HARRIS FNP
NPI 1104458751
Nurse Practitioner - Family in Kennesaw, GA
About Kashondra Denae Harris Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KASHONDRA DENAE HARRIS FNP (NPI 1104458751) is an individual family provider in Kennesaw, Georgia, licensed in Georgia (RN220216) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Eagan, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kashondra Denae Harris Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Kashondra Harris reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mcdonough, GA 30253
- Reassigned Medicare billing, Georgia enrollment
- 28 clinicians in this Medicare group
Griffin, GA 30224
- Reassigned Medicare billing, Georgia enrollment
- 208 clinicians in this Medicare group
Rockville, MD 20854
- Reassigned Medicare billing, Georgia enrollment
- 350 clinicians in this Medicare group
Sewell, NJ 08080
- Reassigned Medicare billing, New Jersey enrollment
- 243 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30152 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kashondra Harris's NPI number?
The NPI number for Kashondra Harris is 1104458751. It was assigned to this individual provider in the NPPES registry on February 11, 2020.
Where is Kashondra Harris located?
Kashondra Harris practices at 2782 N Cobb Pkwy, Kennesaw, GA 30152. The listed phone number is (866) 389-2727.
What is Kashondra Harris's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kashondra Harris enrolled in Medicare?
Yes. Kashondra Harris is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kashondra Harris's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kashondra Harris reassigns Medicare benefits to 4 organizations: Family Medical And Urgent Care Clinic Of Mcdonough, LLC (Mcdonough, GA), Georgia Emergency Group, LLC (Griffin, GA), Minuteclinic LLC (Rockville, MD) and Minuteclinic Diagnostic Of New Jersey LLC (Sewell, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kashondra Harris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kashondra Harris accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Kashondra Harris 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 Kashondra Harris was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.
# Kashondra Denae Harris, FNP · NPI 1104458751
Family physician in Kennesaw, Georgia. Individual provider, active in the CMS NPPES registry since February 11, 2020.
## Identity
- **NPI:** 1104458751 (Entity type: Individual)
- **Enumerated:** February 11, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN220216 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2782 N COBB PKWY, Kennesaw, GA 30152-3472
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Family Medical And Urgent Care Clinic Of Mcdonough, LLC (NPI 1043440530, Mcdonough, GA); Georgia Emergency Group, LLC (NPI 1952746638, Griffin, GA); Minuteclinic LLC (NPI 1134191836, Rockville, MD); Minuteclinic Diagnostic Of New Jersey LLC (NPI 1053353615, Sewell, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104458751) · Data from the CMS NPPES public registry.