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DR. KENYATTA VICTORIA DEAN DO
NPI 1710964440
Family Medicine in Duluth, GA

Active since December 23, 2005PECOS EnrolledAccepts Medicare Assignment
3650 STEVE REYNOLDS BLVD, DEPARTMENT OF INTERNAL MEDICINE TEAM A, DULUTH, GA 30096(770) 931-6011 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenyatta Victoria Dean Do NPPES

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

DR. KENYATTA VICTORIA DEAN DO (NPI 1710964440) is an individual family medicine provider in Duluth, Georgia, licensed in Georgia (052265) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1997).

NPPES Registry Identity

NPI1710964440
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENYATTA VICTORIA DEANCredential: DO
Location Address3650 STEVE REYNOLDS BLVD, DEPARTMENT OF INTERNAL MEDICINE TEAM ADuluth, GA 30096-4506
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 364-7000 · Fax (404) 364-4732
Phone(770) 931-6011
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1997
Enumeration DateDecember 23, 2005
Last NPPES UpdateJanuary 13, 2022
✔ NPI 1710964440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 052265
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3650 STEVE REYNOLDS BLVD, Duluth, GA 30096
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenyatta Victoria Dean Do 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 ID5597860114
PECOS Enrollment IDI20070410000389
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 30096 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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 20

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

DR. DANIEL CRAIG GRIZZLE M.D.
Family Medicine
3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Gwinnett County (770) 931-6220
SHAWNAY NICOLE MAZELL M.D.
Psychiatry & Neurology (Neurology)
3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096
Gwinnett County (678) 549-6257
PATRICIA BEATRIZ MASSO MALDONADO AUD
Audiologist
3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096
Gwinnett County (404) 365-0966
MS. MICHELLE S BERKOWITZ CNM
Midwife
3650 STEVE REYNOLDS BLVD, DEPARTMENT OF OBSTETRICS & GYNECOLOGY
DULUTH, GA 30096
Gwinnett County (770) 931-6110
LINDA H REMLINGER CNP
Pediatrics
3650 STEVE REYNOLDS BLVD, PEDIATRICS HEALTH CARE TEAM A
DULUTH, GA 30096
Gwinnett County (770) 931-6012
DR. TERI L LAURENTI PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096
Gwinnett County (770) 931-6176
KELLEY WAGES STARNES CNM
Midwife
3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Gwinnett County (770) 931-6110
LESLIE JEAN QUACKENBUSH LCSW
Social Worker (Clinical)
3650 STEVE REYNOLDS BLVD, GWINNETT COMPREHENSIVE MEDICAL CENTER
DULUTH, GA 30096
Gwinnett County (919) 764-2000

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 Kenyatta Dean's NPI number?

The NPI number for Kenyatta Dean is 1710964440. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Kenyatta Dean located?

Kenyatta Dean practices at 3650 Steve Reynolds Blvd Department Of Internal Medicine Team A, Duluth, GA 30096. The listed phone number is (770) 931-6011.

What is Kenyatta Dean's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenyatta Dean enrolled in Medicare?

Yes. Kenyatta Dean 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.

When was this NPI record last updated?

The NPPES record for Kenyatta Dean was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.