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KENNETH GENOVA M.D.
NPI 1548239148
Specialist in Lagrange, GA

Active since March 16, 2006
300 MEDICAL DR, SUITE 705, LAGRANGE, GA 30240(706) 885-0111(706) 885-0607 Get Directions Write a Review

NPPES record last updated: May 16, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth Genova M.d. NPPES

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

KENNETH GENOVA M.D. (NPI 1548239148) is an individual specialist in Lagrange, Georgia, licensed in Georgia (036977) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1548239148
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameKENNETH GENOVACredential: M.D.
Location Address300 MEDICAL DR, SUITE 705Lagrange, GA 30240-4155
Mailing Address300 Medical Dr, Suite 705Lagrange, GA 30240-4155 · (706) 885-0111 · Fax (706) 885-0607
Phone(706) 885-0111
Fax(706) 885-0607
Sole ProprietorYes
Enumeration DateMarch 16, 2006
Last NPPES UpdateMay 16, 2008
✔ NPI 1548239148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 036977
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

300 MEDICAL DR, Lagrange, GA 30240
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Other Identifiers 3

Medicare UPINF28604GA
Medicaid00542055AGA
Medicare ID-Type Unspecified26BDCRMGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 16

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

MEDICAL CARE OF LAGRANGE, LLC
Internal Medicine
300 MEDICAL DR, SUITE 701
LAGRANGE, GA 30240
Troup County (706) 882-8971
HEIDI ANN HALLA-BAUER PSY.D
Psychologist
300 MEDICAL DR, STE 705
LAGRANGE, GA 30240
Troup County (706) 885-0111
DR. PETER PING LEE M.D.
Psychiatry & Neurology (Neurology)
300 MEDICAL DR, SUITE 701
LAGRANGE, GA 30240
Troup County (706) 882-0552
GEORGE M HENRY M.D.
Specialist
300 MEDICAL DR, SUITE 705
LAGRANGE, GA 30240
Troup County (706) 885-0111
M. DIANNE WAGES LPC
Counselor (Mental Health)
300 MEDICAL DR, M. DIANNE WAGES, LPC
LAGRANGE, GA 30240
Troup County (706) 885-0111
PETER PING LEE MD PC
Psychiatry & Neurology (Neurology)
300 MEDICAL DR, SUITE 701
LAGRANGE, GA 30240
Troup County (706) 882-0552
LAURA D BYARD LPC
Counselor (Professional)
300 MEDICAL DR, STE 705
LAGRANGE, GA 30240
Troup County (706) 885-0111
ANIL R MODI MD
Internal Medicine
300 MEDICAL DR, SUITE 701
LAGRANGE, GA 30240
Troup County (706) 882-8971

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 Kenneth Genova's NPI number?

The NPI number for Kenneth Genova is 1548239148. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Kenneth Genova located?

Kenneth Genova practices at 300 Medical Dr Suite 705, Lagrange, GA 30240. The listed phone number is (706) 885-0111.

What is Kenneth Genova's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Kenneth Genova accept?

Health plans from Providence Health Plan list Kenneth Genova 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.

When was this NPI record last updated?

The NPPES record for Kenneth Genova was last updated on May 16, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.