Individual provider Active NPI

Janice K Hogue Kinahan, NP

  • Nurse Practitioner
  • Kennesaw, GA
National Provider Identifier
1760559512
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN087295 Issued in GA
Practice address
1301 Shiloh Rd NW
Ste 1611
Kennesaw, GA 30144-7147
Phone
(770) 804-9479
Fax
(877) 795-9149
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN087295 GA Primary

Addresses

Primary practice location

1301 Shiloh Rd NW
Ste 1611
Kennesaw, GA 30144-7147

Mailing address

1301 Shiloh Rd NW
Ste 1611
Kennesaw, GA 30144-7147
Phone (770) 804-9479

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050715000466 GA Practitioner - Nurse Practitioner 9537195003 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Kennesaw, GA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Truhealth, LLC Nurse Practitioner CurrentSince Jul 28, 2025 Accepting new patients
Post Acute Care Leaders LLC Nurse Practitioner CurrentSince Jun 1, 2020 Accepting new patients
Prairie Assisted Living Services LLC Past Accepting new patients
Fall and Restore LLC PastSince May 18, 2012 Accepting new patients
Dunwoody Personal Health Care PC Past Accepting new patients
Janice K, Hogue Kinahan, NP PastSince Jan 1, 1990 Accepting new patients

Locations

156 Pine Knoll Dr
Carrollton, GA 30117
Phone (770) 832-8243

325 Allen Memorial Dr SW
Milledgeville, GA 31061
Phone (478) 453-8514

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1760559512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW",
            "address_2": "STE 1611",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447147",
            "telephone_number": "770-804-9479",
            "fax_number": "877-795-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW",
            "address_2": "STE 1611",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447147",
            "telephone_number": "770-804-9479",
            "fax_number": "877-795-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGUE KINAHAN",
        "first_name": "JANICE",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN087295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.