KELLY KENCADE-PICHON
NPI 1760180988
Anesthesiologist Assistant in Snellville, GA

Q: What is Kelly Kencade-pichon's NPI number?

The NPI number for Kelly Kencade-pichon is 1760180988. It was assigned to this individual provider in the NPPES registry on February 16, 2023.

Q: What is Kelly Kencade-pichon's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Active since February 16, 2023

1700 MEDICAL WAY, SNELLVILLE, GA 30078(770) 979-0200 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2023, Feb 16, 2023 (2 updates tracked since 2023).

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About Kelly Kencade-pichon NPPES

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

KELLY KENCADE-PICHON (NPI 1760180988) is an individual anesthesiologist assistant in Snellville, Georgia and active in the NPI registry since February 2023. She is affiliated with Piedmont Eastside Medical Center and is a graduate of Other (2023).

NPPES Registry Identity

NPI1760180988

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameKELLY KENCADE-PICHON

Location Address1700 MEDICAL WAYSnellville, GA 30078-2195

Mailing Address955 Masters LnSnellville, GA 30078-3579 · (404) 274-0526

Phone(770) 979-0200

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 16, 2023

Last NPPES UpdateNovember 8, 20232 updates tracked since enumeration

NPPES CertifiedNovember 8, 2023

✔ NPI 1760180988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Also ListedRespiratory Therapist, RegisteredTaxonomy 227900000X · License 6771 (GA)

1700 MEDICAL WAY, Snellville, GA 30078

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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 (PECOS)

Kelly Kencade-pichon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820445000

PECOS Enrollment IDI20231109000758

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number110192

Location1700 Medical WaySnellville, GA 30078 · Gwinnett County

Emergency services Birthing friendly

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.

MR. JASON TODD JONES NP

Nurse Practitioner

1700 MEDICAL WAY
SNELLVILLE, GA 30078

Gwinnett County (478) 464-8134

YOVANIE JEAN-PIERRE NP

Nurse Practitioner

1700 MEDICAL WAY
SNELLVILLE, GA 30078

Gwinnett County (770) 979-0200

TAYANA BUCHANAN

Nurse Practitioner

1700 MEDICAL WAY
SNELLVILLE, GA 30078

Gwinnett County (404) 610-0205

WILLIAM MUSARRA A.A.

Anesthesiologist Assistant

1700 MEDICAL WAY, ANESTHESIA DEPT
SNELLVILLE, GA 30078

Gwinnett County (770) 979-9996

MS. DONNA ARTHUR PA-C

Physician Assistant (Medical)

1700 MEDICAL WAY
SNELLVILLE, GA 30078

Gwinnett County (770) 332-1234

JEREMY L STERLING PA

Anesthesiologist Assistant

1700 MEDICAL WAY
SNELLVILLE, GA 30078

Gwinnett County (770) 979-9996

APOLLO EMERGENCY PHYSICIANS, LLC

Emergency Medicine

1700 MEDICAL WAY
SNELLVILLE, GA 30078

Gwinnett County (469) 401-2386

CHARLOTTE A HAYES MD

Radiology (Diagnostic Radiology)

1700 MEDICAL WAY
SNELLVILLE, GA 30078

Gwinnett County (770) 979-0200

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 Kelly Kencade-pichon's NPI number?

The NPI number for Kelly Kencade-pichon is 1760180988. It was assigned to this individual provider in the NPPES registry on February 16, 2023.

Where is Kelly Kencade-pichon located?

Kelly Kencade-pichon practices at 1700 Medical Way, Snellville, GA 30078. The listed phone number is (770) 979-0200.

What is Kelly Kencade-pichon's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Kelly Kencade-pichon enrolled in Medicare?

Yes. Kelly Kencade-pichon is registered in the Medicare PECOS enrollment system.

Is Kelly Kencade-pichon affiliated with any hospitals?

According to CMS data, Kelly Kencade-pichon is affiliated with Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Kencade-pichon was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.