Active NPI
Denise Lowman-Kedzierski, NP-C
- Nurse Practitioner
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN168434
- Practice address
- 355 Tower Rd NE
Suite 300
Marietta, GA 30060-9408 - Phone
- (770) 426-4721
- Fax
- (770) 424-0391
- NPI assigned
- Feb 6, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN168434 | GA | Primary |
Addresses
Primary practice location
355 Tower Rd NE
Suite 300
Marietta, GA 30060-9408
Mailing address
355 Tower Rd NE
Suite 300
Marietta, GA 30060-9408
Phone (770) 426-4721
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 862338670A | Medicaid | GA |
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2988 Shallowford Rd
Marietta, GA 30066-3033
Phone (678) 732-1527
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Professional Services, LLC | Current | Accepting new patients | |
| The Emory Clinic Inc | Current | Accepting new patients | |
| Piedmont Medical Care Corporation | Past | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415
2779 N Cobb Pkwy NW
Kennesaw, GA 30152
Phone (678) 732-1516
2988 Shallowford Rd
Marietta, GA 30066
Phone (678) 560-1871
695 W Crossville Rd
Roswell, GA 30075
Phone (678) 732-1531
Organizations & group practices 3
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.
-
- Nephrology Physician
- Stockbridge, GA
- NPI 1104088905
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242086400000",
"number": "1093954562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 TOWER RD NE",
"address_2": "SUITE 300",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300609408",
"telephone_number": "770-426-4721",
"fax_number": "770-424-0391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 TOWER RD NE",
"address_2": "SUITE 300",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300609408",
"telephone_number": "770-426-4721",
"fax_number": "770-424-0391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWMAN-KEDZIERSKI",
"first_name": "DENISE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-06",
"last_updated": "2009-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN168434",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "862338670A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.