KENNESAW PEDIATRICS
NPI 1659565562
Clinic/Center - Primary Care in Kennesaw, GA
NPI Status: Active since September 04, 2007
Contact Information
3745 CHEROKEE ST NW
SUITE 401
KENNESAW, GA
ZIP 30144
Phone: (770) 429-1005
Fax: (770) 429-8005
- Organization
- Clinic/Center
- Primary Care
- Accepts Insurance
- CLIA Number: 11D1010647
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-31-2027
About KENNESAW PEDIATRICS
This page provides the complete NPI Profile along with additional information for Kennesaw Pediatrics, a primary care provider established in Kennesaw, Georgia operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1659565562 assigned on September 2007. The practitioner's primary taxonomy code is 261QP2300X with license number 0048265 (GA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. Mark Anthony Long Md (President)
- NPI
- 1659565562
- Provider Name
- KENNESAW PEDIATRICS
- Entity Type
- Organization
- Location Address
- 3745 CHEROKEE ST NW SUITE 401 KENNESAW, GA 30144
- Location Phone
- (770) 429-1005
- Location Fax
- (770) 429-8005
- Mailing Address
- 3745 CHEROKEE ST NW SUITE 401 KENNESAW, GA 30144
- Mailing Phone
- (770) 429-1005
- Mailing Fax
- (770) 429-8005
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-04-2007
- Last Update Date
- 09-04-2007
- Code Navigator
A primary care provider (PCP) like Kennesaw Pediatrics sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 0048265
- License State
- GA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D1010647
- Facility Type
- Physician Office
- Certificate Effective Date
- June 01, 2025
- Certificate Expiration Date
- May 31, 2027
- Laboratory Director
- MARK A. LONG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kennesaw Pediatrics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for KENNESAW PEDIATRICS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 5 | 9 | 5 | 6 | 5 | 5 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 10 | 6 | 10 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 1 + 0 + 6 + 1 + 0 + 5 + 1 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1659565562 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
MARK R HESTER OD
Optometrist
3745 CHEROKEE ST NW
STE 404
KENNESAW, GA
ZIP 30144
DR. PHILIP LLOYD WRIGHT DC
Chiropractor
3745 CHEROKEE ST NW
# 606
KENNESAW, GA
ZIP 30144
MRS. ELIZABETH MADDOX KRESGE
Counselor
(Professional)
3745 CHEROKEE ST NW
SUITE 202
KENNESAW, GA
ZIP 30144
DR. SARAH ELIZABETH YOUNT MD
Pediatrics
3745 CHEROKEE ST NW
SUITE401
KENNESAW, GA
ZIP 30144
CHRONIC HEALTH MANAGEMENT, LLC
Durable Medical Equipment & Medical Supplies
3745 CHEROKEE ST NW
SUITE 102
KENNESAW, GA
ZIP 30144
COBB PHARMACY, INC
Pharmacy
(Community/Retail Pharmacy)
3745 CHEROKEE ST NW
SUITE 603
KENNESAW, GA
ZIP 30144
HESTER EYE ASSOCIATES, PC
Optometrist
3745 CHEROKEE ST NW
STE 404
KENNESAW, GA
ZIP 30144
SHANA SHELBY ADKINS M.S., LPC, CRC, NCC
Counselor
(Professional)
3745 CHEROKEE ST NW
KENNESAW, GA
ZIP 30144
DR. MARIA G. AXELROD MD
Pediatrics
3745 CHEROKEE ST NW
KENNESAW, GA
ZIP 30144
ALLISON PAIGE ARBELAEZ LCSW
Social Worker
(Clinical)
3745 CHEROKEE ST NW
KENNESAW, GA
ZIP 30144
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659565562, enumerated as an "organization" on September 04, 2007.
The provider is located at 3745 CHEROKEE ST NW SUITE 401 KENNESAW, GA 30144 and the phone number is (770) 429-1005.
Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.
