Kendall Jefferson, M.D.
NPI 1861717464 · Pediatrics Physician · Kennesaw, GA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kendall Jefferson, M.D. is a Pediatrics Physician provider in Kennesaw, GA (NPI 1861717464).
Provider details
- NPI number
- 1861717464
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 2013-01164 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Registry dates
- Enumerated
- 2010-04-07
- Last updated
- 2022-03-08
- Certified
- 2022-03-08
Frequently asked questions
- What is Kendall Jefferson's NPI number?
- Kendall Jefferson's National Provider Identifier (NPI) is 1861717464, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kendall Jefferson's specialty?
- Kendall Jefferson is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Kendall Jefferson located?
- Kendall Jefferson's practice location on file with NPPES is 750 Townpark Ln Nw, Kennesaw, GA 30144-5824.
- What is Kendall Jefferson's phone number?
- The practice phone number listed in the NPPES registry for Kendall Jefferson is (404) 365-0966.
- Does Kendall Jefferson accept Medicare?
- Kendall Jefferson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kendall Jefferson's NPI active?
- Yes — Kendall Jefferson's NPI (1861717464) is active in the NPPES registry as of the last update on 2022-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.