Active NPI
Tatenda Katsande
- Physician Assistant
- McDonough, GA
National Provider Identifier
1649108572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 14041
- Practice address
- 2340 Patrick Henry Pkwy Ste 150
McDonough, GA 30253-4326 - Phone
- (770) 462-4440
- NPI assigned
- May 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 14041 | GA | Primary |
Addresses
Primary practice location
2340 Patrick Henry Pkwy Ste 150
McDonough, GA 30253-4326
Mailing address
1400 Jr Grant Blvd Apt 1407
McDonough, GA 30253-8440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14041 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1649108572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 JR GRANT BLVD APT 1407",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302538440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 PATRICK HENRY PKWY STE 150",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302534326",
"telephone_number": "770-462-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATSANDE",
"first_name": "TATENDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-11",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "14041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.