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

Q: 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.

Q: What is Kwanza Washington's specialty?

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

Q: 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 6 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.

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: September 13, 2026.

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

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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

Phone(706) 329-1329

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

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Secondary Practice Locations 4

Location 11160 5th St Unit BFort Eustis, VA 23604-0913 · Phone (706) 329-1329

Location 2861 Commerce Dr SW Ste 300DConyers, GA 30094-6614 · Phone (706) 329-1329

Location 3101 Regency Park Dr Ste 110McDonough, GA 30253-7076 · Phone (404) 996-0126 · Fax (678) 432-2626

Location 47980 S Mulberry St Apt AShaw AFB, SC 29152-1529 · Phone (706) 329-1329

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

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.

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.

DR. CHAD RICHARD

Pharmacist