Jennifer Wing Kennedy, CPNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN-NP193467 Issued in GA

Practice address

1875 Century Blvd NE Ste 150
Atlanta, GA 30345-3323

Phone

(404) 633-4595

Fax

(404) 633-6637

NPI assigned

Jan 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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.

• Childfren'S Medical Group, P.C.

  • Pediatric Adolescent Medicine Physician
  • Atlanta, GA
  • NPI 1497865935
  NPD (past)
• Edward M. Gotlieb, M.D., Et Al Dba the Pediatric Center

  • Pediatrics Physician
  • Stone Mountain, GA
  • NPI 1619197498
  NPD (past)
• Northlake Pediatric Associates,PC

  • Pediatrics Physician
  • Stone Mountain, GA
  • NPI 1518174036
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1649455718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 S CANDLER ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303748",
            "telephone_number": "207-831-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 CENTURY BLVD NE STE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453323",
            "telephone_number": "404-633-4595",
            "fax_number": "404-633-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JENNIFER",
        "middle_name": "WING",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN193467",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP193467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evesha Kenya Kenlyn
• Kennedy ABA Ga LLC
• Amanda Lauren Kennedy, MS, RDN, LDN, CLC
• Caroline A Kennedy, PA-C
• James C. Kennedy Jr., PHD
• Joakim Kennedy
• John Patrick Kennedy, D.C.
• Joycelyn Kennedy, LMSW
• Margaret Kennedy
• Michelle Denise Kennedy, CRNA

• Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.