Individual provider Active NPI

Kera Njenga

  • Women's Health Nurse Practitioner
  • Johns Creek, GA
National Provider Identifier
1003411323
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN-NP715042 Issued in GA
Practice address
10692 Medlock Bridge Rd Ste 100a
Johns Creek, GA 30097-8497
Phone
(404) 446-2496
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN-NP715042 GA Primary

Addresses

Primary practice location

10692 Medlock Bridge Rd Ste 100a
Johns Creek, GA 30097-8497

Mailing address

10692 Medlock Bridge Rd Ste 100a
Johns Creek, GA 30097-8497
Phone (404) 446-2496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210804001814 CA Practitioner - Nurse Practitioner 5092119610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Drexel University College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axis Community Health IncGroup PAC ID 7012975071, 39 clinicians

Practice addresses (Care Compare)

5925 W Las Positas Blvd
Pleasanton, CA 94588-8537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP715042GAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Community Health Inc Current Accepting new patients
Axis Community Health Inc CurrentSince Apr 7, 2021 Accepting new patients
Axis Community Health Inc CurrentSince Apr 7, 2021 Accepting new patients
Modern Obstetrics and Gynecology of North Atlanta PC PastSince Dec 16, 2023 Accepting new patients
North Perimeter Anesthesia LLC Past Accepting new patients

Locations

4361 Railroad Ave
Pleasanton, CA 94566
Phone (925) 201-6005

Interoperability endpoints

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

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1003411323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10692 MEDLOCK BRIDGE RD STE 100A",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300978497",
            "telephone_number": "404-446-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10692 MEDLOCK BRIDGE RD STE 100A",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300978497",
            "telephone_number": "404-446-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJENGA",
        "first_name": "KERA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "APRN-NP715042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.