Kaitlin Marie Hafer, PNP, DNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN275671 Issued in GA

Practice address

5080 Peachtree Blvd Ste 100
Chamblee, GA 30341-2878

Phone

(404) 785-5437

Fax

(404) 785-8053

NPI assigned

Aug 26, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1104704154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 LEE ST SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804431",
            "telephone_number": "770-756-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 PEACHTREE BLVD STE 100",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412878",
            "telephone_number": "404-785-5437",
            "fax_number": "404-785-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFER",
        "first_name": "KAITLIN",
        "middle_name": "MARIE",
        "credential": "PNP, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "RN275671",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN275671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grady Memorial Hospital Corporation
• Karen Grannis, LPC
• Walter M. Grayson Jr., D.D.S.
• Mary C. Groover, MS, RD, LD
• Jeffery Jerome Gutter
• Lou Blalock Hall, RPH
• Paige Hampton
• Hands on Wellness
• Jennifer Hawkins
• James E Heim, PT, DPT

• Pediatric Nurse Practitioner in Chamblee, GA
• Providers in Chamblee, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.