Individual provider Active NPI

Haley Kemp, AGPCNP-BC

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1992244354
Registry record updated Apr 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN 206262 Issued in GA
Practice address
2900 Chamblee Tucker Rd
Atlanta, GA 30341-4100
Phone
(770) 939-1288
NPI assigned
Feb 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2017

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 RN 206262 GA Primary

Addresses

Primary practice location

2900 Chamblee Tucker Rd
Atlanta, GA 30341-4100

Mailing address

2900 Chamblee Tucker Rd
Atlanta, GA 30341-4100

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
I20170424001643 GA Practitioner - Nurse Practitioner 9638455876 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carenow Services, LLCGroup PAC ID 2163561259, 36 clinicians

Practice addresses (Care Compare)

401 Bombay LN
Roswell, GA 30076-5826
Phone (770) 664-1920

Merit-based Incentive Payment System (MIPS)

Final score
49.38 of 100Reported as group
Quality
4.35
Promoting interoperability
0
Improvement activities
40
Cost
76.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 206262GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Rivers Community Service Board CurrentSince Jun 3, 2017 Accepting new patients
Carenow Services, LLC CurrentSince May 3, 2022 Accepting new patients
United Psychology Center, LLC CurrentSince Apr 5, 2017 Accepting new patients
Highland Rivers CSB CurrentSince Jun 3, 2017 Accepting new patients
Advantage Behavioral Health Systems CurrentSince Nov 6, 2018 Accepting new patients

Locations

250 Bray St
Athens, GA 30601
Phone (706) 542-9746

191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600

2900 Chamblee Tucker Rd
Bldg 16
Chamblee, GA 30341
Phone (770) 939-1288

1401 Applewood Dr
Ste 1
Dalton, GA 30720
Phone (706) 270-5003

1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507

323 Roland Rd
Jasper, GA 30143
Phone (706) 253-1112

401 Bombay Ln
Roswell, GA 30076
Phone (770) 664-1920

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492905600000",
    "number": "1992244354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CHAMBLEE TUCKER RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CHAMBLEE TUCKER RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414100",
            "telephone_number": "770-939-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "HALEY",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN 206262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.