Active NPI
Kashondra Denae Harris, FNP
- Family Nurse Practitioner
- Kennesaw, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN220216
- Practice address
- 2782 N Cobb Pkwy
Kennesaw, GA 30152-3472 - Phone
- (866) 389-2727
- NPI assigned
- Feb 11, 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 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AP70014578 | WA | |
| Family Medicine Physician | 207Q00000X | 0024188994 | VA | |
| Family Medicine Physician | 207Q00000X | 5022496 | NC | |
| Family Medicine Physician | 207Q00000X | APN0102926-C-NP | CO | |
| Family Medicine Physician | 207Q00000X | 0038608 | OH | |
| Family Medicine Physician | 207Q00000X | A185201 | IA | |
| Family Medicine Physician | 207Q00000X | 1176309 | TX | |
| Family Medicine Physician | 207Q00000X | 26NJ15421300 | NJ | |
| Family Medicine Physician | 207Q00000X | APRN11030058 | FL | |
| Family Medicine Physician | 207Q00000X | 40023 | TN | |
| Family Nurse Practitioner | 363LF0000X | RN220216 | GA | Primary |
Addresses
Primary practice location
2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Mailing address
120 Grafton St
Hampton, GA 30228-3824
Phone (478) 719-2286
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1631 Hwy 20 W
McDonough, GA 30253-7311
Phone (770) 288-2822
2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0102926-C-NP | CO | MD | Family Medicine Physician |
| APRN11030058 | FL | MD | Family Medicine Physician |
| A185201 | IA | MD | Family Medicine Physician |
| 5022496 | NC | MD | Family Medicine Physician |
| 26NJ15421300 | NJ | MD | Family Medicine Physician |
| 0038608 | OH | MD | Family Medicine Physician |
| 40023 | TN | MD | Family Medicine Physician |
| 1176309 | TX | MD | Family Medicine Physician |
| AP70014578 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medical Associates, LLC | Family Medicine | Current | Accepting new patients |
| Georgia Emergency Group, LLC | Current | Accepting new patients | |
| Minuteclinic Diagnostic of New Jersey LLC | Family Medicine | Current | Accepting new patients |
| Minuteclinic LLC | Family | Current | Accepting new patients |
| Family Medical and Urgent Care Clinic of McDonough, LLC | Family Medicine | Current | Accepting new patients |
| Donna M. Haney M.D., P.C. | Family Medicine | Past | Accepting new patients |
Locations
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
2782 N Cobb Pkwy NW
Kennesaw, GA 30152
Phone (770) 420-1092
1631 Highway 20 W
McDonough, GA 30253
Phone 7702882822 ext. 135
11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141
7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002
230 Plaza Dr
Zebulon, GA 30295
Phone (404) 569-1310
471 Main St
Chatham, NJ 07928
Phone (973) 635-4636
4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700
307 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-1177
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CAJFBD
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- kashondra.harris.d1.p1@direct.alegiscare.nextgenshare.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- McDonough, GA
- NPI 1043440530
-
- Emergency Medicine Physician
- Griffin, GA
- NPI 1952746638
-
- Family Nurse Practitioner
- Sewell, NJ
- NPI 1053353615
Family Medicine
-
- Family Medicine Physician
- McDonough, GA
- NPI 1225587280
-
- Family Medicine Physician
- Zebulon, GA
- NPI 1801078035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1104458751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 GRAFTON ST",
"city": "HAMPTON",
"state": "GA",
"postal_code": "302283824",
"telephone_number": "478-719-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2782 N COBB PKWY",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301523472",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "KASHONDRA",
"middle_name": "DENAE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-11",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "AP70014578",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0024188994",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "5022496",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "APN0102926-C-NP",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "0038608",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "A185201",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "1176309",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "26NJ15421300",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "APRN11030058",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "40023",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN220216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.
- 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.