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

KENNEDY CRUTCHFIELD
NPI 1386274801
Psychologist - Clinical in Marietta, GA

Q: What is Kennedy Crutchfield's NPI number?

The NPI number for Kennedy Crutchfield is 1386274801. It was assigned to this individual provider in the NPPES registry on January 23, 2020.

Q: What is Kennedy Crutchfield's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since January 23, 2020PECOS Enrolled

1810 WHITE CIR STE 105, MARIETTA, GA 30066(770) 420-1600(770) 999-2802 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2026, Sep 25, 2026, Jan 23, 2020 (3 updates tracked since 2020).

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About Kennedy Crutchfield NPPES

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

KENNEDY CRUTCHFIELD (NPI 1386274801) is an individual clinical provider in Marietta, Georgia, licensed in Georgia (PSY900394) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gretna, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1386274801

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKENNEDY CRUTCHFIELD

Location Address1810 WHITE CIR STE 105Marietta, GA 30066-5836

Mailing Address1810 White Cir Ste 105Marietta, GA 30066-5836 · (770) 420-1600 · Fax (770) 999-2802

Phone(770) 420-1600

Fax(770) 999-2802

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 23, 2020

Last NPPES UpdateOctober 22, 20263 updates tracked since enumeration

NPPES CertifiedOctober 22, 2026

✔ NPI 1386274801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · PSY900394

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PSY900394 (GA)

Also ListedPsychologist · HealthTaxonomy 103TH0004X · License PSY900394 (GA)

1810 WHITE CIR STE 105, Marietta, GA 30066

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Secondary Practice Location 1

Location 12100 Belle Chasse HwyGretna, LA 70053-6651 · Phone (504) 367-6630

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kennedy Crutchfield is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941761027

PECOS Enrollment IDI20260918002170

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 30066 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

$172.43 typical visit price

range $56.84 – $172.43

Typical copayment $43.10 (range $14.21 – $43.10)

Most-billed visit code 99205

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 3

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

KENLY KING

Nurse Practitioner (Family)

1810 WHITE CIR STE 105
MARIETTA, GA 30066

Cobb County (770) 420-1600

MRS. SHANNON ASHE SHOCKLEY FNP-BC

Registered Nurse (General Practice)

1810 WHITE CIR STE 105
MARIETTA, GA 30066

Cobb County (678) 797-6820

DR. LAURIE LAMMERT MD

Internal Medicine

1810 WHITE CIR STE 105
MARIETTA, GA 30066

Cobb County (678) 797-6820

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 Kennedy Crutchfield's NPI number?

The NPI number for Kennedy Crutchfield is 1386274801. It was assigned to this individual provider in the NPPES registry on January 23, 2020.

Where is Kennedy Crutchfield located?

Kennedy Crutchfield practices at 1810 White Cir Ste 105, Marietta, GA 30066. The listed phone number is (770) 420-1600.

What is Kennedy Crutchfield's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kennedy Crutchfield enrolled in Medicare?

Yes. Kennedy Crutchfield is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kennedy Crutchfield was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.