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KENNESAW WELLNESS
NPI 1184304404
Family Medicine - Adult Medicine in Kennesaw, GA

Active since July 21, 2023
745 CHASTAIN RD NW STE 1060, KENNESAW, GA 30144(770) 800-3353(770) 575-8361 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kennesaw Wellness NPPES

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

KENNESAW WELLNESS (NPI 1184304404), doing business as Prime Health Md, is a healthcare organization registered as an adult medicine in Kennesaw, Georgia and active in the NPI registry since July 2023. The organization lists Niraj Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1184304404
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameKENNESAW WELLNESS
Location Address745 CHASTAIN RD NW STE 1060Kennesaw, GA 30144-3002
Mailing Address4505 Ashford Dunwoody Rd Ne Ste 15bDunwoody, GA 30346-1516
Phone(770) 800-3353
Fax(770) 575-8361
Organization SubpartNo
Authorized OfficialNiraj PatelOwner · (804) 814-7666
Enumeration DateJuly 21, 2023
NPPES CertifiedJuly 21, 2023
✔ NPI 1184304404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
745 CHASTAIN RD NW STE 1060, Kennesaw, GA 30144
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Other Names 1

Doing Business AsPrime Health Md

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2309352

Kennesaw Wellness Dba Primehealthmd · Kennesaw, GA
Expired · Aug 13, 2026
CLIA Number11D2309352
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2024
Certificate Expiration DateAugust 13, 2026
Laboratory DirectorSara J. Brzykcy
Laboratory Phone(700) 800-3351
Laboratory LocationKennesaw Wellness Dba Primehealthmd745 Chastain Road, NW, Suite 1060, Kennesaw, GA 30144
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MRS. ERIKA ESTES RUBANT NP
Nurse Practitioner
745 CHASTAIN RD NW STE 1060
KENNESAW, GA 30144
Cobb County (470) 450-4156

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 Kennesaw Wellness's NPI number?

The NPI number for Kennesaw Wellness is 1184304404. It was assigned to this organization in the NPPES registry on July 21, 2023. The provider is doing business as Prime Health MD.

Where is Kennesaw Wellness located?

Kennesaw Wellness is located at 745 Chastain Rd NW Ste 1060, Kennesaw, GA 30144. The listed phone number is (770) 800-3353.

What is Kennesaw Wellness's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Kennesaw Wellness was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.