Kennestone Family Medicine
NPI 1891234118 · Primary Care Clinic/Center · Marietta, GA
Kennestone Family Medicine is a Primary Care Clinic/Center organization in Marietta, GA (NPI 1891234118).
Provider details
- NPI number
- 1891234118
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sam Peng, MD(770) 820-3855
- License
- RN205404 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
- 2017-02-20
- Last updated
- 2017-02-20
Frequently asked questions
- What is Kennestone Family Medicine's NPI number?
- Kennestone Family Medicine's National Provider Identifier (NPI) is 1891234118, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kennestone Family Medicine?
- Kennestone Family Medicine is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kennestone Family Medicine located?
- Kennestone Family Medicine's practice location on file with NPPES is 72 Plaza Way Nw, Marietta, GA 30060-1104.
- What is Kennestone Family Medicine's phone number?
- The practice phone number listed in the NPPES registry for Kennestone Family Medicine is (770) 795-8070.
- Who is the authorized official for Kennestone Family Medicine?
- The authorized official listed on Kennestone Family Medicine's NPPES record is Sam Peng, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kennestone Family Medicine's NPI active?
- Yes — Kennestone Family Medicine's NPI (1891234118) is active in the NPPES registry as of the last update on 2017-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.