Individual provider Active NPI

Michelle Denise Kennedy, CRNA

  • Certified Registered Nurse Anesthetist
  • Atlanta, GA
National Provider Identifier
1487618161
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN159513 Issued in GA
Practice address
3300 Overton Park Dr SE Apt 152
Atlanta, GA 30339-2870
Phone
(478) 733-8129
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN159513 GA Primary

Addresses

Primary practice location

3300 Overton Park Dr SE Apt 152
Atlanta, GA 30339-2870

Mailing address

3300 Overton Park Dr SE Apt 152
Atlanta, GA 30339-2870
Phone (478) 733-8129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060206000034 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325052814 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3870 Medical Park Dr
Suite 100
Austell, GA 30106-1110
Phone (770) 929-9033

Merit-based Incentive Payment System (MIPS)

Final score
86.17 of 100Reported as group
Quality
74.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.72 of 100Reported as group
Quality
77.67
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Dec 30, 2021 Accepting new patients
Greater Atlanta Anesthesia, LLC CurrentSince Apr 1, 2023 Accepting new patients
Interventional Spine and Pain Management Ambulatory Surgical Center CurrentSince Jul 4, 2023 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
Xenon Anesthesia of Georgia LLC CurrentSince Dec 9, 2018 Accepting new patients
Mulkey Anesthesiology Associates LLC CurrentSince Jul 4, 2023 Accepting new patients
Concordia Anesthesiology, Inc CurrentSince Jun 1, 2019 Accepting new patients
SG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 8, 2024 Accepting new patients
Northern Georgia Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2025 Accepting new patients
Gastroenterology Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2015 Accepting new patients
South Metro Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2019 Accepting new patients
RG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2015 Accepting new patients
Guardian Medical Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2016 Accepting new patients
Aga, LLC Past Accepting new patients

Locations (25 of 35)

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

340 N Milledge Ave
Ste A
Athens, GA 30601
Phone (706) 548-0008

95 Collier Rd NW
Ste 4075
Atlanta, GA 30309
Phone (404) 355-2200

550 Peachtree St NE
Ste 1600
Atlanta, GA 30308
Phone (404) 881-1094

3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501

3870 Medical Park Dr
Austell, GA 30106
Phone (770) 923-7778

3870 Medical Park Dr
Ste 100
Austell, GA 30106

1515 River Pl
Ste 320
Braselton, GA 30517
Phone (678) 997-2125

1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985

1388 Wellbrook Cir NE
Conyers, GA 30012

1388 Wellbrook Cir NE
Ste 1500
Conyers, GA 30012

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

8855 Hospital Dr
Ste 102
Douglasville, GA 30134
Phone (678) 784-5020

3400 McClure Bridge Rd
Ste A102
Duluth, GA 30096
Phone (917) 621-6854

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

2324 Limestone Overlook
Ste 200
Gainesville, GA 30501
Phone (312) 724-7441

226 E College St
#A
Griffin, GA 30224
Phone (678) 987-1490

134 Mountainside Village Pkwy
Bldg 500
Jasper, GA 30143
Phone (706) 253-7340

763 Old Norcross Rd
Lawrenceville, GA 30046
Phone (678) 985-1994

4865 Bill Gardner Pkwy
Locust Grove, GA 30248
Phone (770) 692-0100

610 3rd St
Ste 102
Macon, GA 31201
Phone (478) 202-8691

488 Kennesaw Ave NW
Ste 100
Marietta, GA 30060
Phone (770) 427-3075

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

34 Upper Riverdale Rd SE
Ste 201
Riverdale, GA 30274
Phone (678) 904-0094

6555 Professional Pl
Ste B
Riverdale, GA 30274
Phone (770) 692-0100

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1487618161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 OVERTON PARK DR SE APT 152",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392870",
            "telephone_number": "478-733-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 OVERTON PARK DR SE APT 152",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392870",
            "telephone_number": "478-733-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MICHELLE",
        "middle_name": "DENISE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN159513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.