MS. PAIGE B. KENWAY AGPCNP-BC
NPI 1720548704
Nurse Practitioner in Fayetteville, GA

Active since March 25, 2019PECOS Enrolled
132 OLD NORTON RD STE 200, FAYETTEVILLE, GA 30215(678) 817-1117(678) 817-0823 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2020, May 14, 2020 (2 updates tracked since 2020).

About Ms. Paige B. Kenway Agpcnp-bc NPPES

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

MS. PAIGE B. KENWAY AGPCNP-BC (NPI 1720548704) is an individual nurse practitioner in Fayetteville, Georgia, licensed in Georgia (RN222344) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720548704
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. PAIGE B. KENWAYCredential: AGPCNP-BC
Location Address132 OLD NORTON RD STE 200Fayetteville, GA 30215-4873
Mailing Address1835 Savoy Dr Ste 300Atlanta, GA 30341-1071 · (678) 817-1117 · Fax (678) 817-0823
Fax(678) 817-0823
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateAugust 24, 20202 updates tracked since enumeration
NPPES CertifiedAugust 24, 2020
NPI 1720548704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in GA · RN222344
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
132 OLD NORTON RD STE 200, Fayetteville, GA 30215

Other Names 1

Former Name (1)Miss Paige D Burkett

Other Identifiers 2

Medicaid003217336AGA
OtherG11383AGA · Medicare Ptan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Paige B. Kenway Agpcnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466794847
PECOS Enrollment IDI20190506000647
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 30215 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 4

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

Physician Assistant
132 OLD NORTON RD STE 200
FAYETTEVILLE, GA 30215
Internal Medicine (Hematology & Oncology)
132 OLD NORTON RD STE 200
FAYETTEVILLE, GA 30215
Pharmacist (Oncology)
132 OLD NORTON RD STE 200
FAYETTEVILLE, GA 30215
Nurse Practitioner
132 OLD NORTON RD STE 200
FAYETTEVILLE, GA 30215

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 Paige Kenway's NPI number?

The NPI number for Paige Kenway is 1720548704. It was assigned to this individual provider in the NPPES registry on March 25, 2019. The provider is also known as Miss Paige D Burkett.

Where is Paige Kenway located?

Paige Kenway practices at 132 Old Norton Rd Ste 200, Fayetteville, GA 30215. The listed phone number is (678) 817-1117.

What is Paige Kenway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Paige Kenway enrolled in Medicare?

Yes. Paige Kenway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paige Kenway was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.