NPI age
20 years
Enumerated 2006-02-24
● Active
Type 1 · Individual
Stacy H. Kendrick, PA
Kendrick is 1 of 88 physician assistant providers in Austell and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-02-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4616 active physician assistant providers in Georgia.
NPI age
20 years
↑ 12 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-02Enumerated in NPPES
2006
2026
Where they practice
Practice location
2041 Mesa Valley Way, Suite 100
Austell, GA 301068157
Mailing address
2041 Mesa Valley Way, Suite 100
Austell, GA 301068157
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 407818938A | |
| 05 (GA) | 407818938C | |
| 05 (GA) | 407818938D |
Practice context
Part of a multi-provider practice. 32 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new physician assistant providers have been added in Austell in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.