NPI age
19 years
Enumerated 2006-07-19
● Active
Type 1 · Individual
Jack Neil Kendrick, CRNA
Kendrick is 1 of 59 nurse anesthetist, certified registered providers in Marietta and 1 of 2157 in Georgia.
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 2 subspecialties
Licensed in
GA, SC, NC
3 states
Status
Active
No deactivations on record
Last NPPES update
2025-12-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2157 active nurse anesthetist, certified registered providers in Georgia.
NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
3 states
Top 84% — 15% of peers are multi-state
Subspecialties
0
27% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
488 Kennesaw Ave Nw Ste 100
Marietta, GA 300609409
Mailing address
10 Glenlake Pkwy Ste 900
Atlanta, GA 303287249
Specialties
-
Nurse Anesthetist, Certified Registered Primary(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | AN2258 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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