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NPI · 1235378324 · NPPES-sourced

Kennesaw Mountain Medical Group

ActivePrimary Care Clinic
NPI Number
1235378324
Type 2 · Organisation
Taxonomy Code
261QP2300X
Contact
(770) 422-5880
License GA · 52992
Last Updated
Enumerated
Primary practice addressGA · 30152-4301
1600 Kennesaw Due West Rd Nw, Building 600 Suite 625Kennesaw, GA 30152-4301
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About this NPIWhat this record shows.

NPI 1235378324 is registered to Kennesaw Mountain Medical Group, a healthcare organisation classified as "Primary Care Clinic" and located at 1600 Kennesaw Due West Rd Nw, Building 600 Suite 625 in Kennesaw, Georgia. The organisation's authorised official is Gregory Matechak. The organisation has been enumerated in the NPI registry since 2009.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Kennesaw Mountain Medical Group accepts. To confirm in-network status with your specific health plan, contact Kennesaw Mountain Medical Group directly at (770) 422-5880.

Frequently asked

Yes. NPI 1235378324 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Primary Care Clinic is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (770) 422-5880.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Kennesaw Mountain Medical Group is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QP2300X
Last updated
Enumerated
StatusActive
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