EVESHA KENYA KENLYN – Pain Medicine (Anesthesiology) Physician, NPI 1477012656

EVESHA KENYA KENLYN is a healthcare provider. based in Atlanta, Georgia. specializing in INTERNAL MEDICINE. They hold a License No. 99617 (GA). The NPI Number for EVESHA KENYA KENLYN is 1477012656

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
EVESHA KENYA KENLYN
NPI
1477012656
Phone
Not provided
Address
49 JESSE HILL JR DR SE
Enumeration Date
18 March 2019
Last Update Date
28 May 2024

Doctor Profile

Medical School Name
MOREHOUSE SCHOOL OF MEDICINE
Secondary Phone
6789714167
Graduation Year
2019 (7 years ago)
PAC ID
3375879968
Group Practice PAC ID
7517370299
Professional Enrollment ID
I20241009002941
Address ID
GA303285334AT1150XEXXX600
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,409 INTERNAL MEDICINE in GA

Provider Addresses for EVESHA KENYA KENLYN

  • 49 JESSE HILL JR DR SE

    ATLANTA, GA 303033049

    Phone:

    Type: Mailing

  • 1150 Hammond Dr Ste 40

    Atlanta, GA 303285334

    Phone: (678) 971-4167

    Type: Location

  • 601 Broad St SE Ste B

    Gainesville, GA 305013718

    Phone: (678) 971-4167

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $3,672.

Total Amount is formed as General ($3,672) + Research ($0) + Ownership ($0) = $3,672.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Boston Scientific Corporation ($1,451).

Total Amount

$3,672

General + Research + Ownership

Payments

23

Total payment records

General Amount

$3,672

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241009002941IInternal MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30303)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517370299View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Interventional Pain ManagementGA
Nurse PractitionerGA
Interventional Pain ManagementGA
Physician AssistantSC
Pain ManagementGA
Physician AssistantGA
Physical Medicine And RehabilitationGA
Physician AssistantGA

Reviews

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Frequently asked questions

What is the standard ID for EVESHA KENYA KENLYN in the U.S.?
In the U.S., EVESHA KENYA KENLYN is identified by NPI 1477012656.
Quick check: is EVESHA KENYA KENLYN active?
Public NPPES data shows EVESHA KENYA KENLYN with an active NPI status right now.
What services align with EVESHA KENYA KENLYN's listing?
EVESHA KENYA KENLYN's public classification highlights Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to EVESHA KENYA KENLYN?
EVESHA KENYA KENLYN is associated with Atlanta, Georgia in the same public data insurers reference.
Can I export EVESHA KENYA KENLYN's record?
You can download the official NPPES record; we summarize key fields for readability.

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