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

Q: 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.

Q: What is Paige Kenway's specialty?

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

Q: 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 6 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 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: October 25, 2026.

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

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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

Phone(678) 817-1117

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

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Other Names 1

Former Name (1)Miss Paige D Burkett

Other Identifiers 2

Medicaid003217336AGA

OtherG11383AGA · Medicare Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Paige Kenway reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brightmoor Hospice, LLC

17 mi

Hospice Care, Community Based

3247 NEWNAN RD
Griffin, GA 30223

Reassigned Medicare billing, Georgia enrollment
11 clinicians in this Medicare group

NPI 1275520751 (770) 467-9930

Nsh Cancer Institute Professional Services G, LLC

33 mi

Hematology & Oncology

1100 JOHNSON FERRY RD NE, SUITE 600
Atlanta, GA 30342

Reassigned Medicare billing, Georgia enrollment
163 clinicians in this Medicare group

NPI 1124379284 (404) 851-6378

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MRS. DONNA ELIZABETH HENDLEY PA-C

Physician Assistant

132 OLD NORTON RD STE 200
FAYETTEVILLE, GA 30215

Fayette County (678) 817-1117

DR. SHYAM L KHANWANI MD

Internal Medicine (Hematology & Oncology)

132 OLD NORTON RD STE 200
FAYETTEVILLE, GA 30215

Fayette County (678) 817-1117

MS. KIM PHUONG THI NGUYEN PHARMD

Pharmacist (Oncology)

132 OLD NORTON RD STE 200
FAYETTEVILLE, GA 30215

Fayette County (678) 817-1117

MARYSA P WALLACE AGNP-C

Nurse Practitioner

132 OLD NORTON RD STE 200
FAYETTEVILLE, GA 30215

Fayette County (678) 817-1117

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.

Which organizations bill Medicare for Paige Kenway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paige Kenway reassigns Medicare benefits to 2 organizations: Brightmoor Hospice, LLC (Griffin, GA) and Nsh Cancer Institute Professional Services G, LLC (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paige Kenway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 6 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.