Kennestone Medical Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KENNESTONE MEDICAL INC.

Practice address

1290 Kennestone Cir BLDG A101-B
Marietta, GA 30066-6009

Phone

(470) 945-4277

NPI assigned

Dec 1, 2023

Last updated

Aug 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sabohi Athar

Title

Ao

Phone

(470) 945-4277

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1023884962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 KENNESTONE CIR BLDG A101-B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666009",
            "telephone_number": "470-945-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 KENNESTONE CIR BLDG A101-B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666009",
            "telephone_number": "470-945-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNESTONE MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "ATHAR",
        "authorized_official_first_name": "SABOHI",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "470-945-4277"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennestone Hospital, Inc (Wellstar Pharmacy Network)
• Kennestone Hospital, Inc (WellStar Kennestone Hospital Inpatient Rehab Unit)
• Kennestone Hospital, Inc. (Wellstar Kennestone Hospital)
• Kennestone Hospital, Inc. (Wellstar Windy Hill Hospital)
• Kennestone Internal Medicine Associates PC
• Kennestone Neurology Associates, P.C.
• Kennestone North Dental Associates
• Kennestone Periodontics of Marietta, PC
• Kenneth C Molkner MD PC
• Kenneth O Logan, D.C.,P.C. (Logan Chiropractic Life Center)

• Durable Medical Equipment & Medical Supplies in Marietta, GA
• Providers in Marietta, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.