Kayla G Rosenberg, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN252349 Issued in GA

Practice address

1289 Scenic Hwy
Lawrenceville, GA 30045-6358

Phone

(770) 972-9000

Fax

(770) 736-0556

NPI assigned

Mar 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gwinnett Clinic, LTDGroup PAC ID 9436061801, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kayla.rosenberg.1@32352.direct.athenahealth.com

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

• Gwinnett Clinic LTD

  • Multi-Specialty Clinic/Center
  • Duluth, GA
  • NPI 1629117650
  Medicare reassignment Care Compare group NPD
• Gwinnett Clinic, LTD

  • Multi-Specialty Clinic/Center
  • Suwanee, GA
  • NPI 1528212149
  NPD
• Gwinnett Clinic, LTD

  • Multi-Specialty Clinic/Center
  • Winder, GA
  • NPI 1689685091
  NPD
• Gwinnett Clinic, LTD

  • Multi-Specialty Clinic/Center
  • Loganville, GA
  • NPI 1255342630
  NPD (past)

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1497296990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 MEDLOCK BRIDGE RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 SCENIC HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300456358",
            "telephone_number": "770-972-9000",
            "fax_number": "770-736-0556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Philip Blvd",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300468737",
            "country_code": "US",
            "telephone_number": "770-995-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2650 Lawrenceville Suwanee Rd",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300244918",
            "country_code": "US",
            "telephone_number": "678-205-5000",
            "fax_number": "678-240-2080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2764 Main St W",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300785708",
            "country_code": "US",
            "telephone_number": "770-978-3388",
            "fax_number": "770-978-0807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Beaver Ruin Rd NW",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300473413",
            "country_code": "US",
            "telephone_number": "770-923-7778",
            "fax_number": "770-806-1383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4870 Lawrenceville Hwy",
            "address_purpose": "LOCATION",
            "city": "Tucker",
            "state": "GA",
            "postal_code": "300842952",
            "country_code": "US",
            "telephone_number": "770-496-1429",
            "fax_number": "770-270-5854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3490 Pleasant Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300963188",
            "country_code": "US",
            "telephone_number": "770-814-2870",
            "fax_number": "770-814-2872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5595 Peachtree Pkwy",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300922551",
            "country_code": "US",
            "telephone_number": "770-242-8001",
            "fax_number": "770-242-6279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "KAYLA",
        "middle_name": "G",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN252349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Jo Ann Rooffener
• Destiny Roper
• Emily Griffin Roper, RN, APNP, PNP
• Roselyn Homecare Inc
• Christine Rosenberg McGowan, D.D.S.
• Alvin I. Rosenthal, M.D.
• Courtney Brandon Ross, DHA, MSN, RN, CNL
• Floria Mae Ross, BSW
• Jahid Kwaku Ross, NURSE PRACTITIONER
• Leslie K Ross, PA-C

• Family Nurse Practitioner in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.