KENYATTA MERRIWEATHER (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1619228558

KENYATTA MERRIWEATHER (APRN) is a healthcare provider. based in Loganville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. RN224477 (GA). The NPI Number for KENYATTA MERRIWEATHER (APRN) is 1619228558

Main info

Female
Sole Proprietor
15 Years Of Experience
Name
KENYATTA MERRIWEATHER (APRN)
NPI
1619228558
Phone
(770) 554-2999
Address
367 ATHENS HWY STE 1800
Enumeration Date
1 October 2012
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3073526677
Graduation Year
2011 (15 years ago)
PAC ID
9638320302
Group Practice PAC ID
5890777437
Professional Enrollment ID
I20200407001208
Address ID
WY829015863RO1124XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for KENYATTA MERRIWEATHER (APRN)

  • 367 ATHENS HWY STE 1800

    LOGANVILLE, GA 300528293

    Phone: (770) 554-2999

    Fax: (770) 679-6390

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $86.

Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($86).

Total Amount

$86

General + Research + Ownership

Payments

4

Total payment records

General Amount

$86

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

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: 2020-04-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (922 days ago).

Enrollment records

2

Earliest due date

2023-11-30

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
I20121107000219INurse PractitionerGA2023-11-30
I20200407001208INurse PractitionerWYTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99212Established patient office or other outpatient visit, 10-19 minutes310119$0
99213Established patient office or other outpatient visit, 20-29 minutes228105$0
99205New patient office or other outpatient visit, 60-74 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 30052)

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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: 5890777437View full group profile
NameSpecialtyState
Nurse PractitionerWY
Mental Health CounselorWY
Pediatric MedicineUT
Clinical Social WorkerWY
-WY
Mental Health CounselorWY

Reviews

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Frequently asked questions

What identifier follows KENYATTA MERRIWEATHER (APRN) across health systems?
The NPI 1619228558 uniquely identifies KENYATTA MERRIWEATHER (APRN) in U.S. healthcare data.
Is KENYATTA MERRIWEATHER (APRN) currently accepting referrals based on NPI status?
Registry metadata lists KENYATTA MERRIWEATHER (APRN) as active.
What type of care does KENYATTA MERRIWEATHER (APRN) provide?
KENYATTA MERRIWEATHER (APRN)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KENYATTA MERRIWEATHER (APRN) tied to Loganville, Georgia?
If you are local to Loganville, Georgia, KENYATTA MERRIWEATHER (APRN) may be relevant to your search.
Who maintains KENYATTA MERRIWEATHER (APRN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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