Active NPI
Veda N Kennedy
- Women's Health Nurse Practitioner
- Decatur, GA
National Provider Identifier
1053938720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN259922
- Practice address
- 3660 Flat Shoals Rd Ste 180
Decatur, GA 30034-1637 - Phone
- (404) 283-7777
- Fax
- (404) 284-7676
- NPI assigned
- Jun 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | RN259922 | GA | |
| Women's Health Nurse Practitioner | 363LW0102X | RN259922 | GA | Primary |
Addresses
Primary practice location
3660 Flat Shoals Rd Ste 180
Decatur, GA 30034-1637
Mailing address
3660 Flat Shoals Rd Ste 180
Decatur, GA 30034-1637
Phone (404) 243-7777
Other names 1
- Veda Langford
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | DECATUR | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1053938720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 FLAT SHOALS RD STE 180",
"city": "DECATUR",
"state": "GA",
"postal_code": "300341637",
"telephone_number": "404-243-7777",
"fax_number": "404-284-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 FLAT SHOALS RD STE 180",
"city": "DECATUR",
"state": "GA",
"postal_code": "300341637",
"telephone_number": "404-283-7777",
"fax_number": "404-284-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "VEDA",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-29",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "GA",
"license": "RN259922",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "GA",
"license": "RN259922",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "DECATUR",
"affiliation": "N",
"endpointDescription": "home",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4117 Lehigh Blvd",
"city": "Decatur",
"state": "GA",
"country_code": "US",
"postal_code": "300346036",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "VEDA",
"last_name": "LANGFORD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.