NURSE PRACTIONER
NPI 1629519202
Clinic/Center - Community Health in Kennesaw, GA

Q: What is Nurse Practioner's NPI number?

The NPI number for Nurse Practioner is 1629519202. It was assigned to this organization in the NPPES registry on March 15, 2017.

Q: What is Nurse Practioner's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Q: When was this NPI record last updated?

The NPPES record for Nurse Practioner was last updated on March 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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 March 15, 2017

4044 GEORGE BUSBEE PKWY NW APT 4207, KENNESAW, GA 30144(404) 579-1658 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nurse Practioner NPPES

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

NURSE PRACTIONER (NPI 1629519202) is a healthcare organization registered as a community health in Kennesaw, Georgia and active in the NPI registry since March 2017. The organization lists Rose Kombe, Fnp, as its authorized official.

NPPES Registry Identity

NPI1629519202

Entity TypeOrganization

Primary Taxonomy261QC1500X

Legal Business NameNURSE PRACTIONER

Location Address4044 GEORGE BUSBEE PKWY NW APT 4207Kennesaw, GA 30144-6890

Mailing AddressPo Box 1234Powder Springs, GA 30127-7234 · (404) 579-1658

Phone(404) 579-1658

Organization SubpartYesParent: Independent Contractor

Authorized OfficialRose KombeFnp · (404) 579-1658

Enumeration DateMarch 15, 2017

✔ NPI 1629519202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities

Taxonomy Code261QC1500X

License✔ Licensed in GA · 193760

Also ListedPoint of ServiceTaxonomy 305S00000X · License 193760 (GA)

4044 GEORGE BUSBEE PKWY NW APT 4207, Kennesaw, GA 30144

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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 Nurse Practioner's NPI number?

The NPI number for Nurse Practioner is 1629519202. It was assigned to this organization in the NPPES registry on March 15, 2017.

Where is Nurse Practioner located?

Nurse Practioner is located at 4044 George Busbee Pkwy NW Apt 4207, Kennesaw, GA 30144. The listed phone number is (404) 579-1658.

What is Nurse Practioner's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Nurse Practioner was last updated on March 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.