ZERAH KENYA GORHAM (MD) – Pediatrics Physician, NPI 1013954684

ZERAH KENYA GORHAM (MD) is a healthcare provider. based in Snellville, Georgia. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. 034839 (GA). The NPI Number for ZERAH KENYA GORHAM (MD) is 1013954684

Main info

Female
Sole Proprietor
Name
ZERAH KENYA GORHAM (MD)
NPI
1013954684
Phone
(770) 736-2440
Address
1700 MEDICAL WAY
Enumeration Date
1 June 2006
Last Update Date
20 March 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ZERAH KENYA GORHAM (MD)

  • Eastside Medical Center, 1700, Medical Way, Snellville, Gwinnett County, Georgia, 30078, United States

    SNELLVILLE, GA 300782195

    Phone: (770) 736-2440

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-11-10

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
I20101110000769IPediatric 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 30078)

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Reviews

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Frequently asked questions

Is ZERAH KENYA GORHAM (MD) listed with a National Provider Identifier?
Yes — ZERAH KENYA GORHAM (MD) has NPI 1013954684 on file in the registry.
Active or inactive — what applies to ZERAH KENYA GORHAM (MD)?
You should see ZERAH KENYA GORHAM (MD) as active in CMS-hosted NPPES data.
How would a patient describe ZERAH KENYA GORHAM (MD)'s focus?
For ZERAH KENYA GORHAM (MD), the primary taxonomy reads as Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Is ZERAH KENYA GORHAM (MD) associated with Snellville?
Public fields place ZERAH KENYA GORHAM (MD) around Snellville, Georgia. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for ZERAH KENYA GORHAM (MD) is noted as June 1, 2006 where the registry provides it.

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