Individual provider Active NPI

Kerri Queen, MSN, FNP-C

  • Family Nurse Practitioner
  • Calhoun, GA
National Provider Identifier
1134588684
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP168114 Issued in GA
Practice address
1035 Red Bud Rd NE Ste 102
Calhoun, GA 30701-6010
Phone
(706) 602-3104
Fax
(706) 602-3105
NPI assigned
Feb 12, 2016
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP168114 GA Primary

Addresses

Primary practice location

1035 Red Bud Rd NE Ste 102
Calhoun, GA 30701-6010

Mailing address

PO Box 12938
C/O Clinic Management
Calhoun, GA 30703
Phone (706) 602-7800

Other names 1

  • Kerri Whittenburg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160226000838 GA Practitioner - Nurse Practitioner 8527363654 Reassigns benefits to 1 organization
I20230215002647 NC Practitioner - Nurse Practitioner 8527363654 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APRN-NP168114GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainstreet and Kidsstreet of North Carolina PLLC CurrentSince Jan 24, 2023 Accepting new patients
Mainstreet and Kidsstreet of North Carolina PLLC CurrentSince Jan 24, 2023 Accepting new patients
Rural Urgent Care LLC CurrentSince Feb 1, 2022 Accepting new patients
Rural Urgent Care LLC CurrentSince Jan 14, 2021 Accepting new patients
Adventist Health System Georgia Inc CurrentSince Sep 1, 2026 Accepting new patients
Rural Urgent Care LLC CurrentSince Jan 14, 2021 Accepting new patients
New Horizons Treatment Center Inc. PastSince Dec 28, 2025 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1408 Tallahassee Hwy
Ste Z
Bainbridge, GA 39819
Phone (229) 400-9033

1035 Red Bud Rd NE
Ste 102
Calhoun, GA 30701
Phone (706) 602-3104

12 Medical Dr NE
Cartersville, GA 30121
Phone (770) 336-2057

25 Highland Xing S
Ellijay, GA 30540
Phone (334) 689-4025

130 James Ave
Locust, NC 28097
Phone (704) 271-3777

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1134588684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12938",
            "address_2": "C/O CLINIC MANAGEMENT",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "30703",
            "telephone_number": "706-602-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 RED BUD RD NE STE 102",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307016010",
            "telephone_number": "706-602-3104",
            "fax_number": "706-602-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEEN",
        "first_name": "KERRI",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-12",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP168114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "WHITTENBURG",
            "credential": "MSN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Calhoun, GA

Sources for this page

Verify at the official NPI Registry.