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

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: October 18, 2026.

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

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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health.Insurance ›

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

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.

Medicare Billing Reassignments

7

Medicare enrollment records show Johanna Kennedy reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hamilton Medical Center, Inc.
Same address
General Acute Care Hospital
1200 MEMORIAL DR
Dalton, GA 30720
  • Reassigned Medicare billing, Georgia enrollment
  • 236 clinicians in this Medicare group
NPI 1528056066 (706) 272-6000
Utm Of Georgia Physicians LLC
19 mi
Family Medicine
400 BATTLEFIELD PKWY
Fort Oglethorpe, GA 30742
  • Reassigned Medicare billing, Georgia enrollment
  • 37 clinicians in this Medicare group
NPI 1255893038 (615) 988-2009
Hardy Renew Wellness,llc
63 mi
Internal Medicine
838 CANNON RUN SW
Marietta, GA 30064
  • Reassigned Medicare billing, Georgia enrollment
  • 134 clinicians in this Medicare group
NPI 1952914368 (423) 443-9956
One Stop Medical Services
73 mi
Family Medicine
6559 CHURCH ST
Douglasville, GA 30134
  • Reassigned Medicare billing, Georgia enrollment
  • 6 clinicians in this Medicare group
NPI 1790098457 (678) 383-6944
Georgia Mso LLC
74 mi
Family Medicine
3343 PEACHTREE RD NE, STE 145 PMB 3034
Atlanta, GA 30326
  • Reassigned Medicare billing, Georgia enrollment
  • 131 clinicians in this Medicare group
NPI 1952196164 (212) 734-6621
The Emory Clinic Inc
79 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144
Post Acute Care Leaders LLC
83 mi
Geriatric Medicine
156 PINE KNOLL DR
Carrollton, GA 30117
  • Reassigned Medicare billing, Georgia enrollment
  • 22 clinicians in this Medicare group
NPI 1033689336 (678) 593-3332

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
1200 MEMORIAL DR
DALTON, GA 30720
Whitfield County (706) 272-6000
CAROL LAWRENCE CRNA
Registered Nurse
1200 MEMORIAL DR
DALTON, GA 30720
Whitfield County (706) 259-4435
AMY FOUTS DNP, BSN, AGACNP-BC
Nurse Practitioner (Acute Care)
1200 MEMORIAL DR
DALTON, GA 30720
Whitfield County (706) 272-7000
QUENTIN SMITH MD
Emergency Medicine
1200 MEMORIAL DR
DALTON, GA 30720
Whitfield County (706) 272-6150
RALPH WEAVER CRNA
Registered Nurse
1200 MEMORIAL DR
DALTON, GA 30720
Whitfield County (706) 259-4435
JOELLA MATHENY ATC
Specialist/Technologist (Athletic Trainer)
1200 MEMORIAL DR
DALTON, GA 30720
Whitfield County (706) 217-2273
FRED BARRY HODGES III MD
Orthopaedic Surgery
1200 MEMORIAL DR
DALTON, GA 30720
Whitfield County (706) 272-6596
LAUREN HURST
Physical Therapy Assistant
1200 MEMORIAL DR
DALTON, GA 30720
Whitfield County (706) 272-6420

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 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.

Where is Johanna Kennedy located?

Johanna Kennedy practices at 1200 Memorial Dr, Dalton, GA 30720. The listed phone number is (706) 272-6000.

What is Johanna Kennedy's specialty?

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

Is Johanna Kennedy enrolled in Medicare?

Yes. Johanna Kennedy 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 Johanna Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johanna Kennedy reassigns Medicare benefits to 7 organizations: Hamilton Medical Center, Inc. (Dalton, GA), Utm Of Georgia Physicians LLC (Fort Oglethorpe, GA), Hardy Renew Wellness,llc (Marietta, GA), One Stop Medical Services (Douglasville, GA), Georgia Mso LLC (Atlanta, GA) and 2 more organizations, listed in the Medicare section above. 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 Johanna Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Johanna Kennedy accept?

Health plans from Alliant Health Plans, Inc. and Oscar Health list Johanna Kennedy 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.

Is Johanna Kennedy affiliated with any hospitals?

According to CMS data, Johanna Kennedy is affiliated with Hamilton Medical Center.

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 17 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.