Kenny H Esho, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

77730 Issued in GA

Practice address

675 College Ave
Athens, GA 30601-2635

Phone

(706) 546-5526

NPI assigned

Jun 25, 2014

Last updated

Dec 23, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HJCIBA/Endpoint/HJCIBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Athens Model Neighborhood Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Athens, GA
  • NPI 1275751448
  Medicare reassignment
• Athens Model Neighborhood Health Center Inc

  dba Hillsman Health Center

  • Federally Qualified Health Center (FQHC)
  • Athens, GA
  • NPI 1053962902
  NPD
• Athens Model Neighborhood Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Athens, GA
  • NPI 1093932683
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1003221342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 COLLEGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012635",
            "telephone_number": "706-546-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 COLLEGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012635",
            "telephone_number": "706-546-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHO",
        "first_name": "KENNY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "77730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Edward Erickson
• Erika Heinzle, Ms, LPC, LLC
• Robert Mitchell Ermentrout, M.D.
• Thalia Bando Escobedo, LCSW
• Brandi N Escoe
• Lindsay Fussell Estep
• Elizabeth Estes, RN
• Teresa Sue Estrada, ASN
• Enyang Etengeneng, PMHNP
• Anne C. H. Ethier, LPC

• Pediatrics Physician in Athens, GA
• Providers in Athens, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.