OrganizationActive
Kennesaw Pediatrics
NPI 1659565562 · Primary Care Clinic/Center · Kennesaw, GA
Kennesaw Pediatrics is a Primary Care Clinic/Center organization in Kennesaw, GA (NPI 1659565562).
Provider details
- NPI number
- 1659565562
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Long, President(770) 429-1005
- License
- 0048265 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3745 Cherokee St Nw
Suite 401
Kennesaw, GA 30144-6733
Phone: (770) 429-1005
Fax: (770) 429-8005
Street-level locationGet directions
Mailing address
3745 Cherokee St Nw
Kennesaw, GA 30144-6733
Registry dates
- Enumerated
- 2007-09-04
- Last updated
- 2007-09-04
Frequently asked questions
- What is Kennesaw Pediatrics's NPI number?
- Kennesaw Pediatrics's National Provider Identifier (NPI) is 1659565562, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kennesaw Pediatrics?
- Kennesaw Pediatrics is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kennesaw Pediatrics located?
- Kennesaw Pediatrics's practice location on file with NPPES is 3745 Cherokee St Nw, Kennesaw, GA 30144-6733.
- What is Kennesaw Pediatrics's phone number?
- The practice phone number listed in the NPPES registry for Kennesaw Pediatrics is (770) 429-1005.
- Who is the authorized official for Kennesaw Pediatrics?
- The authorized official listed on Kennesaw Pediatrics's NPPES record is Mark Long, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kennesaw Pediatrics's NPI active?
- Yes — Kennesaw Pediatrics's NPI (1659565562) is active in the NPPES registry as of the last update on 2007-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.