KASHONDRA DENAE HARRIS FNP
NPI 1104458751
Nurse Practitioner - Family in Kennesaw, GA

Active since February 11, 2020PECOS Enrolled
89.89/100
CMS Quality Rating
2782 N COBB PKWY, KENNESAW, GA 30152(866) 389-2727 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2025, Feb 11, 2020 (2 updates tracked since 2020).

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 and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104458751
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKASHONDRA DENAE HARRISCredential: FNP
Location Address2782 N COBB PKWYKennesaw, GA 30152-3472
Mailing Address120 Grafton StHampton, GA 30228-3824 · (478) 719-2286
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 11, 2020
Last NPPES UpdateOctober 21, 20252 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
NPI 1104458751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN220216
Also ListedFamily MedicineTaxonomy 207Q00000X · License AP70014578 (WA), 0024188994 (VA), 5022496 (NC), APN0102926-C-NP (CO), 0038608 (OH), A185201 (IA), 1176309 (TX), 26NJ15421300 (NJ), APRN11030058 (FL), 40023 (TN)
2782 N COBB PKWY, Kennesaw, GA 30152

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kashondra Denae Harris Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416369541
PECOS Enrollment IDI20201215001298
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.

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.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$15.12 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$66.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacist
2782 N COBB PKWY
KENNESAW, GA 30152
Nurse Practitioner (Family)
2782 N COBB PKWY
KENNESAW, GA 30152
Pharmacist
2782 N COBB PKWY
KENNESAW, GA 30152
Nurse Practitioner
2782 N COBB PKWY
KENNESAW, GA 30152
Nurse Practitioner (Family)
2782 N COBB PKWY
KENNESAW, GA 30152
Nurse Practitioner (Family)
2782 N COBB PKWY
KENNESAW, GA 30152
Nurse Practitioner (Family)
2782 N COBB PKWY
KENNESAW, GA 30152
Nurse Practitioner (Family)
2782 N COBB PKWY
KENNESAW, GA 30152

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.

What insurance does Kashondra Harris accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. 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 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.