KENNESAW STATE UNIVERSITY (NPI# 1518207612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518207612 |
| Entity Type | Organization |
| Organization Name | KENNESAW STATE UNIVERSITY |
| Other Organization Name | KENNEWAW STATE UNIVERSITY STUDENT HEALTH SERVICES |
| Practice Address |
1000 Chastain Rd Nw Md5200 House 52 Kennesaw GA 30144-5588 |
| Practice Telephone | 7704236644 |
| Practice Fax Number | 7704993655 |
| Mailing Telephone | 7704236644 |
| Mailing Fax Number | 7704993655 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-04-02 |
| Authorized Official Name | ERIN WOLFE (PROCUREMENT MANAGER) |
| Authorized Official Telephone | 7704204355 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kennewaw State University Student Health Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134460967 | Kennesaw State University | Psychologist | 5050 Spring Valley Rd, Dallas, TX 75244-3995 | 2013-03-04 |
| Street Address |
1000 CHASTAIN RD NW MD5200 HOUSE 52 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-5588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619180676 | Anne Nichols | Nurse Practitioner | 1000 Chastain Rd Nw, Mailstop 5200, Kennesaw, GA 30144-5588 | 2007-05-07 |
| 1346512357 | Lisa Marie Schulte | Internal Medicine | 1000 Chastain Rd Nw, Mailbox 0201, Kennesaw, GA 30144-5588 | 2012-02-07 |
| 1396057808 | Hiroki Kariya | Specialist/Technologist | 1000 Chastain Rd Nw, Kennesaw, GA 30144-5588 | 2010-07-13 |
| 1831426931 | Kennesaw State University Health Clinic | Clinic/Center | 1000 Chastain Rd Nw, House 52, Kennesaw, GA 30144-5588 | 2009-11-10 |
| 1003050576 | Lisa Vivienne Poling | Nurse Practitioner | 1000 Chastain Rd Nw, Kennesaw, GA 30144-5588 | 2009-04-28 |
| 1881853026 | Susan Alice Ristau | Counselor | 1000 Chastain Rd Nw, Kennesaw Hall, Suite 2419, Kennesaw, GA 30144-5588 | 2008-06-03 |
| 1750579876 | Gwen Hatley Whiting | Student in an Organized Health Care Education/Training Program | 1000 Chastain Rd Nw, #5200 House #52, Kennesaw, GA 30144-5588 | 2007-10-15 |
| 1104019801 | Lisa Schlageter Stadalius | Nurse Practitioner | 1000 Chastain Rd Nw, 52, Kennesaw, GA 30144-5588 | 2007-08-26 |
| 1932312899 | Emma M. Guice | Nurse Practitioner | 1000 Chastain Rd Nw, House 52, Student Health Clinic, Kennesaw, GA 30144-5588 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790100170 | Wellstar Medical Group, LLC | Clinic/Center | 3215 Campus Loop Rd Nw, Kennesaw, GA 30144-3227 | 2014-02-21 |
| 1831426931 | Kennesaw State University Health Clinic | Clinic/Center | 1000 Chastain Rd Nw, House 52, Kennesaw, GA 30144-5588 | 2009-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023422417 | Georgia Southwestern State University | Clinic/Center | 800 Gsw University Drive, Americus, GA 31709 | 2014-06-13 |
| 1154758001 | Georgia College & State University | Clinic/Center | 120 W Campus Dr Cbx 091, Milledgeville, GA 31061-1990 | 2013-10-08 |
| 1831443936 | Georgia College & State University | Clinic/Center | 120 W Campus Dr, Cbx 091, Milledgeville, GA 31061-1990 | 2012-10-29 |
| 1821373580 | Thomas University | Clinic/Center | 1501 Millpond Rd, Thomasville, GA 31792-7478 | 2011-10-13 |
| 1215239934 | Aasu Sports Medicne | Clinic/Center | 11935 Abercorn St, Savannah, GA 31419-1909 | 2010-12-01 |
| 1396873527 | Georgia Institute of Technology | Clinic/Center | 740 Ferst Drive, Nw, Atlanta, GA 30332-0470 | 2007-03-01 |
| 1043352016 | Georgia Institute of Technology Stamps Health Services | Clinic/Center | 740 Ferst Drive, Atlanta, GA 30332-0470 | 2007-02-13 |
| 1891255519 | Alexander Clifford Commanday | Clinic/Center | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2019-03-20 |
| 1144629932 | Young Harris College | Clinic/Center | 1 College St, Young Harris, GA 30582-4137 | 2014-08-18 |
| 1811324296 | Columbus State University | Clinic/Center | 4225 University Ave, Athletics Lumpkin Center Rm 124, Columbus, GA 31907-5679 | 2013-10-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.