Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KWANZA WASHINGTON FNP-C
NPI 1215392964
Nurse Practitioner in Kennesaw, GA

Active since December 23, 2015PECOS EnrolledAccepts Medicare Assignment
2782 N COBB PKWY, KENNESAW, GA 30152(706) 329-1329 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2026, Sep 4, 2026, May 21, 2025 and 4 more (7 updates tracked since 2015).

About Kwanza Washington Fnp-c NPPES

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

KWANZA WASHINGTON FNP-C (NPI 1215392964) is an individual nurse practitioner in Kennesaw, Georgia, licensed in Georgia (NP224319) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1215392964
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKWANZA WASHINGTONCredential: FNP-C
Location Address2782 N COBB PKWYKennesaw, GA 30152-3472
Mailing Address2782 N Cobb PkwyKennesaw, GA 30152-3472 · (434) 929-1400
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 23, 2015
Last NPPES UpdateSeptember 11, 20267 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2026
✔ NPI 1215392964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · NP224319
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedInternal MedicineTaxonomy 207R00000X · License 76506 (NM)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 0024179542 (VA), NP224319 (GA)
2782 N COBB PKWY, Kennesaw, GA 30152

Secondary Practice Locations 4

Location 17980 S Mulberry St Apt AShaw AFB, SC 29152-1529 · Phone (706) 329-1329
Location 2861 Commerce Dr SW Ste 300DConyers, GA 30094-6614 · Phone (706) 329-1329
Location 31160 5th St Unit BFort Eustis, VA 23604-0913 · Phone (706) 329-1329
Location 4101 Regency Park Dr Ste 110McDonough, GA 30253-7076 · Phone (404) 996-0126 · Fax (678) 432-2626

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kwanza Washington Fnp-c 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 ID3476831546
PECOS Enrollment IDI20220824002446
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kwanza Washington reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
3481 ERNEST BARRETT PARKWAY SW
Marietta, GA 30064
  • Reassigned Medicare billing, Georgia enrollment
  • 23 clinicians in this Medicare group
Family Medicine
3445 PEACHTREE RD NE STE 1200
Atlanta, GA 30326
  • Reassigned Medicare billing, Georgia enrollment
  • 115 clinicians in this Medicare group
Hospice and Palliative Medicine
354 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 42 clinicians in this Medicare group
Hospitalist
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, North Carolina enrollment
  • 278 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.

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.

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 Kwanza Washington's NPI number?

The NPI number for Kwanza Washington is 1215392964. It was assigned to this individual provider in the NPPES registry on December 23, 2015.

Where is Kwanza Washington located?

Kwanza Washington practices at 2782 N Cobb Pkwy, Kennesaw, GA 30152. The listed phone number is (706) 329-1329.

What is Kwanza Washington's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kwanza Washington enrolled in Medicare?

Yes. Kwanza Washington 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.

Which organizations bill Medicare for Kwanza Washington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kwanza Washington reassigns Medicare benefits to 4 organizations: AFC Physicians Of Georgia, PC (Marietta, GA), Qcpi-Villagemd, PC (Atlanta, GA), Peachtree Hospice Of Georgia, LLC (Stockbridge, GA) and Apogee Medical Group North Carolina (Scottsdale, AZ). 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 Kwanza Washington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kwanza Washington was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 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.