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KENNESAW STATE UNIVERSITY HEALTH CLINIC
NPI 1831426931
Clinic/Center - Adult Mental Health in Kennesaw, GA

Active since November 10, 2009
1000 CHASTAIN RD NW, HOUSE 52, KENNESAW, GA 30144(770) 423-6644 Get Directions Write a Review

NPPES record last updated: November 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kennesaw State University Health Clinic NPPES

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

KENNESAW STATE UNIVERSITY HEALTH CLINIC (NPI 1831426931) is a healthcare organization registered as an adult mental health in Kennesaw, Georgia and active in the NPI registry since November 2009. The organization lists Anne Nichols, Health Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1831426931
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameKENNESAW STATE UNIVERSITY HEALTH CLINIC
Location Address1000 CHASTAIN RD NW, HOUSE 52Kennesaw, GA 30144-5588
Mailing Address1000 Chastain Rd Nw, House 52Kennesaw, GA 30144-5588 · (770) 423-6644
Phone(770) 423-6644
Organization SubpartNo
Authorized OfficialAnne NicholsHealth Clinic Director · (770) 423-6644
Enumeration DateNovember 10, 2009
✔ NPI 1831426931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in GA · RN057224
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Student HealthTaxonomy 261QS1000X · License RN057224 (GA)
1000 CHASTAIN RD NW, Kennesaw, GA 30144
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Other Providers at the Same Location NPPES 11

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

LISA VIVIENNE POLING NP
Nurse Practitioner (Family)
1000 CHASTAIN RD NW
KENNESAW, GA 30144
Cobb County (678) 797-2844
MS. LISA SCHLAGETER STADALIUS APRN
Nurse Practitioner (Women's Health)
1000 CHASTAIN RD NW, 52
KENNESAW, GA 30144
Cobb County (770) 423-6642
KAYLA FOSTER
Student in an Organized Health Care Education/Training Program
1000 CHASTAIN RD NW
KENNESAW, GA 30144
Cobb County (470) 578-6630
MISS LISA MARIE SCHULTE ATC/LAT
Internal Medicine (Sports Medicine)
1000 CHASTAIN RD NW, MAILBOX 0201
KENNESAW, GA 30144
Cobb County (770) 423-6487
HIROKI KARIYA ATC, NREMT-B
Specialist/Technologist (Athletic Trainer)
1000 CHASTAIN RD NW
KENNESAW, GA 30144
Cobb County (678) 797-2291
KENNESAW STATE UNIVERSITY
Clinic/Center (Student Health)
1000 CHASTAIN RD NW, MD5200 HOUSE 52
KENNESAW, GA 30144
Cobb County (770) 423-6644
ANNE NICHOLS NURSE PRACTITIONER
Nurse Practitioner (Family)
1000 CHASTAIN RD NW, MAILSTOP 5200
KENNESAW, GA 30144
Cobb County (770) 423-6642
JASMINE MAXWELL FNP-S
Registered Nurse
1000 CHASTAIN RD NW
KENNESAW, GA 30144
Cobb County (470) 578-6000

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 Kennesaw State University Health Clinic's NPI number?

The NPI number for Kennesaw State University Health Clinic is 1831426931. It was assigned to this organization in the NPPES registry on November 10, 2009.

Where is Kennesaw State University Health Clinic located?

Kennesaw State University Health Clinic is located at 1000 Chastain Rd NW House 52, Kennesaw, GA 30144. The listed phone number is (770) 423-6644.

What is Kennesaw State University Health Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Kennesaw State University Health Clinic was last updated on November 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.