Individual provider Active NPI

Anna Marie Kent, NP

  • Family Nurse Practitioner
  • Roswell, GA
National Provider Identifier
1144814310
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN249758 Issued in GA
Practice address
445 Arbor Creek Overlook
Roswell, GA 30076-5813
Phone
(321) 704-0333
NPI assigned
Feb 27, 2021
Last updated
Feb 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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 RN249758 GA Primary

Addresses

Primary practice location

445 Arbor Creek Overlook
Roswell, GA 30076-5813

Mailing address

445 Arbor Creek Overlook
Roswell, GA 30076-5813
Phone (321) 704-0333

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219002918 GA Practitioner - Nurse Practitioner 3072040732 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pandya Medical Center, Inc CurrentSince Aug 31, 2024 Accepting new patients

Locations

11975 Morris Rd
Ste 210
Alpharetta, GA 30005
Phone (770) 709-6922

3970 Dep Bill Cantrell Memorial Rd
Ste 220
Cumming, GA 30040
Phone (678) 984-3151

Interoperability endpoints

  • Direct secure messaging: anna.kent.1@8348.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8348/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1144814310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 ARBOR CREEK OVERLOOK",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765813",
            "telephone_number": "321-704-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 ARBOR CREEK OVERLOOK",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765813",
            "telephone_number": "321-704-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN249758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.