KENDRA B. KEITH (NP) – Nurse Practitioner, NPI 1922321975

KENDRA B. KEITH (NP) is a healthcare provider. based in Flintstone, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 271464 (GA). The NPI Number for KENDRA B. KEITH (NP) is 1922321975

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
KENDRA B. KEITH (NP)
NPI
1922321975
Phone
(615) 655-3938
Address
299 JOHN THOMPSON RD
Enumeration Date
4 March 2010
Last Update Date
13 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4234982300
Graduation Year
2018 (8 years ago)
PAC ID
8224380787
Group Practice PAC ID
2466724935
Professional Enrollment ID
I20250919003459
Address ID
TN374101594CH4012XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for KENDRA B. KEITH (NP)

  • 299 JOHN THOMPSON RD

    FLINTSTONE, GA 307252406

    Phone: (615) 655-3938

    Fax: (706) 935-3900

    Type: Mailing

  • 7566 Nashville St

    Ringgold, GA 307362361

    Phone: (706) 935-3600

    Fax: (706) 935-3900

    Type: Location

  • 3257, Chattanooga Valley Road, Eagle Cliff, Moons, Walker County, Georgia, 30725, United States

    FLINTSTONE, GA 30725

    Phone: (706) 841-7700

    Fax: (706) 841-7800

    Type: Location

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 $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2023-05-10 • Largest payer in this snapshot: ABBVIE INC. ($52).

Total Amount

$97

General + Research + Ownership

Payments

4

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-10

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: 2025-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20181010002917INurse PractitionerGATBD
I20250919003459INurse PractitionerTNTBD

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 30725)

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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: 2466724935View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTN

Reviews

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Frequently asked questions

What is KENDRA B. KEITH (NP)'s NPI number?
KENDRA B. KEITH (NP)'s NPI is 1922321975 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to KENDRA B. KEITH (NP)?
You should see KENDRA B. KEITH (NP) as active in CMS-hosted NPPES data.
What kind of doctor is KENDRA B. KEITH (NP)?
KENDRA B. KEITH (NP) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with KENDRA B. KEITH (NP)?
Directory geography for KENDRA B. KEITH (NP) centers on Flintstone, Georgia.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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