NPI age
3 years
Enumerated 2023-04-28
● Active Type 2 · Organization
Kennestone Hospital, Inc
Kennestone Hospital, Inc is 1 of 40 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Erzuah
Exec. Director Reimbursement
Last NPPES update
2023-04-28
Source: monthly bulk 2026-05
How this organization compares
Across 40 active pharmacy providers in Georgia.
NPI age
3 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-04Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
115 Cherry St Ne
Marietta, GA 300607205
Mailing address
793 Sawyer Rd
Marietta, GA 300622222
Authorized official
Ebenezer Erzuah
Exec. Director Reimbursement
📞 4709564981
Individual providers at this organization
15 individual providers on file at this primary practice address.
- Almir Agic, PA-C Physician Assistant NPI 1134875206
- Lance Anderson Student in an Organized Health Care Education/Training Program NPI 1902657356
- Grace Bushong, PA Physician Assistant NPI 1851913651
- Viktoriya Carney Nurse Practitioner NPI 1083492078
- Daniel Cha, MD Student in an Organized Health Care Education/Training Program NPI 1124871876
- Maurice Chapman Registered Nurse NPI 1982410973
- Michelle Dehaven Emergency Medicine NPI 1083330351
- Thomas Gentle, PA-C Physician Assistant NPI 1063109171
- Shogofa Halimi, NP Nurse Practitioner NPI 1942079504
- Kaitlyn Holder, MD Emergency Medicine NPI 1598524837
- Jessica Mathew Physician Assistant NPI 1972277069
- Meagan McKay Physician Assistant NPI 1740065366
- Andrew Na, DO Emergency Medicine NPI 1295420610
- Catherine Sanders-Giddens, MD Student in an Organized Health Care Education/Training Program NPI 1508673195
- Andrew Smith, DO Emergency Medicine NPI 1740869874
Specialties
-
Pharmacy PrimaryA pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Wellstar Pharmacy Network
Practice context
Multi-provider organization. 15 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.