JOHANNA LATRICE KENNEDY NP
NPI 1295202323
Nurse Practitioner in Dalton, GA

Q: What is Johanna Kennedy's NPI number?

The NPI number for Johanna Kennedy is 1295202323. It was assigned to this individual provider in the NPPES registry on October 26, 2018.

Q: What is Johanna Kennedy'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 Johanna Kennedy was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since October 26, 2018PECOS EnrolledAccepts Medicare Assignment

1200 MEMORIAL DR, DALTON, GA 30720(706) 272-6000(706) 272-6049 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 17, 2023, Oct 26, 2018 (2 updates tracked since 2018).

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About Johanna Latrice Kennedy Np NPPES

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

JOHANNA LATRICE KENNEDY NP (NPI 1295202323) is an individual nurse practitioner in Dalton, Georgia, licensed in Georgia (RN260949) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295202323

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJOHANNA LATRICE KENNEDYCredential: NP

Location Address1200 MEMORIAL DRDalton, GA 30720-2529

Mailing Address1200 Memorial DrDalton, GA 30720-2529 · (706) 272-6000 · Fax (706) 272-6049

Phone(706) 272-6000

Fax(706) 272-6049

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 26, 2018

Last NPPES UpdateMay 1, 20252 updates tracked since enumeration

NPPES CertifiedMay 1, 2025

✔ NPI 1295202323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN260949

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.

1200 MEMORIAL DR, Dalton, GA 30720

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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

Johanna Latrice Kennedy Np 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 ID2769716786

PECOS Enrollment IDI20190625003728

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

80 services38 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110001

Location1200 Memorial DriveDalton, GA 30720 · Whitfield County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30720 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

MRS. JESSICA SANDERS FNP

Nurse Practitioner (Family)