NPI age
4 years
Enumerated 2021-08-04
● Active Type 2 · Organization
Mini-Med Clinic Of North Georgia, Llc
Mini-Med Clinic Of North Georgia, Llc is 1 of 730 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kennedy
Nurse Practitioner
Last NPPES update
2021-08-27
Source: monthly bulk 2026-05
How this organization compares
Across 730 active clinic/center providers in Georgia.
NPI age
4 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-08Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
5113 Holly Springs Parkway
Canton, GA 30115
Mailing address
5113 Holly Springs Parkway
Canton, GA 30115
Authorized official
Sophia Kennedy, NP
Nurse Practitioner
📞 6783989697
Specialties
-
Clinic/Center PrimaryA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Mini-Med Clinic of North Georgia
-
Mini-Med Clinic of North Georgia
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.