NPI age
16 years
Enumerated 2009-11-10
● Active Type 2 · Organization
Kennesaw State University Health Clinic
Kennesaw State University Health Clinic is 1 of 247 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nichols
Health Clinic Director
Last NPPES update
2009-11-10
Source: monthly bulk 2026-05
How this organization compares
Across 247 active clinic/center providers in Georgia.
NPI age
16 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 32% of peers with subspecialties
NPI lifetime · 2009 → 2026
2009-11Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
1000 Chastain Rd Nw, House 52
Kennesaw, GA 301445588
Mailing address
1000 Chastain Rd Nw, House 52
Kennesaw, GA 301445588
Authorized official
Anne Nichols, APRN
Health Clinic Director
📞 7704236644
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 PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
-
Clinic/CenterDefinition to come...
Practice context
Multi-provider organization. 10 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.