Individual provider Active NPI

Kwanza Washington, FNP-C

  • Nurse Practitioner
  • Kennesaw, GA
National Provider Identifier
1215392964
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP224319 Issued in GA
Practice address
2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Phone
(706) 329-1329
NPI assigned
Dec 23, 2015
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP224319 GA Primary
Family Nurse Practitioner 363LF0000X 0024179542 VA
Family Nurse Practitioner 363LF0000X NP224319 GA
Internal Medicine Physician 207R00000X 76506 NM

Addresses

Primary practice location

2782 N Cobb Pkwy
Kennesaw, GA 30152-3472

Mailing address

2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Phone (434) 929-1400

Other practice location 1

7980 S Mulberry St Apt A
Shaw AFB, SC 29152-1529
Phone (706) 329-1329

Other practice location 2

861 Commerce Dr SW Ste 300D
Conyers, GA 30094-6614
Phone (706) 329-1329

Other practice location 3

1160 5th St Unit B
Fort Eustis, VA 23604-0913
Phone (706) 329-1329

Other practice location 4

101 Regency Park Dr Ste 110
McDonough, GA 30253-7076
Phone (404) 996-0126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 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
I20170731003090 NC Practitioner - Nurse Practitioner 3476831546 Reassigns benefits to 1 organization
I20220824002446 GA Practitioner - Nurse Practitioner 3476831546 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson Health CenterGroup PAC ID 9537060413, shared by 5 NPIs, 39 clinicians

Practice addresses (Care Compare)

320 Federal St
Lynchburg, VA 24504-2306
Phone (434) 947-5967

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19893SCMDPharmacy Technician
76506NMMDInternal Medicine Physician
NP224319GAMDFamily Nurse Practitioner
0024179542VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group North Carolina Multi-Specialty CurrentSince May 15, 2017 Accepting new patients
Peachtree Hospice of Georgia, LLC Multi-Specialty CurrentSince Dec 6, 2023 Accepting new patients
Afc Physicians of Georgia, PC Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients
Afc Physicians of Georgia, PC Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients

Locations

135 Gemini Cir
Ste 202
Birmingham, AL 35209
Phone (205) 949-0400

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

5001 Peachtree Blvd
Ste 115
Chamblee, GA 30341
Phone (770) 458-8929

1233 Eagles Landing Pkwy
Ste Ab
Stockbridge, GA 30281
Phone (404) 480-3842

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

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, 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": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1215392964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2782 N COBB PKWY",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523472",
            "telephone_number": "434-929-1400"
        },
        {
            "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": "706-329-1329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7980 S Mulberry St Apt A",
            "address_purpose": "LOCATION",
            "city": "Shaw AFB",
            "state": "SC",
            "postal_code": "291521529",
            "country_code": "US",
            "telephone_number": "706-329-1329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "861 Commerce Dr SW Ste 300D",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300946614",
            "country_code": "US",
            "telephone_number": "706-329-1329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1160 5th St Unit B",
            "address_purpose": "LOCATION",
            "city": "Fort Eustis",
            "state": "VA",
            "postal_code": "236040913",
            "country_code": "US",
            "telephone_number": "706-329-1329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Regency Park Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "McDonough",
            "state": "GA",
            "postal_code": "302537076",
            "country_code": "US",
            "telephone_number": "404-996-0126",
            "fax_number": "678-432-2626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "KWANZA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "NP224319",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179542",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "NP224319",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "76506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.