NPI age
13 years
Enumerated 2013-02-26
● Active Type 2 · Organization
Kennesaw State University
Kennesaw State University is 1 of 32 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wolfe
Procurement Manager
Last NPPES update
2013-04-02
Source: monthly bulk 2026-05
How this organization compares
Across 32 active clinic/center providers in Georgia.
NPI age
13 years
≈ at median (12 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-02Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
1000 Chastain Rd Nw, Md5200 House 52
Kennesaw, GA 301445588
Mailing address
1000 Chastain Rd Nw, Md5200 House 52
Kennesaw, GA 301445588
Authorized official
Erin Wolfe
Procurement Manager
📞 7704204355
Individual providers at this organization
10 individual providers on file at this primary practice address.
- Kayla Foster Student in an Organized Health Care Education/Training Program NPI 1144892696
- Emma Guice, F.N.P Student in an Organized Health Care Education/Training Program NPI 1932312899
- Hiroki Kariya, ATC, NREMT-B Specialist/Technologist NPI 1396057808
- Jasmine Maxwell, FNP-S Registered Nurse NPI 1720793904
- Anne Nichols, NURSE PRACTITIONER Nurse Practitioner NPI 1619180676
- Lisa Poling, NP Nurse Practitioner NPI 1003050576
- Susan Ristau, LPC Counselor NPI 1881853026
- Lisa Schulte, ATC/LAT Internal Medicine NPI 1346512357
- Lisa Stadalius, APRN Nurse Practitioner NPI 1104019801
- Gwen Whiting, APRN MS BC Student in an Organized Health Care Education/Training Program NPI 1750579876
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Kennewaw State University Student Health Services
Practice context
Multi-provider organization. 10 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 32 Clinic/Center providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- 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.