Johanna Latrice Kennedy, NP - Medicare Nurse Practitioner in Dalton, GA

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Johanna Latrice Kennedy, NP is a medicare enrolled "Nurse Practitioner" in Dalton, Georgia. Her current practice location is 1200 Memorial Dr, Dalton, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 272-6000.

Johanna Latrice Kennedy is licensed to practice in Georgia (license number RN260949) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295202323.

Contact Information

Johanna Latrice Kennedy, NP
1200 Memorial Dr,
Dalton, GA 30720-2529
(706) 272-6000
(706) 272-6049

Map and Direction




Provider's Profile

Full NameJohanna Latrice Kennedy
GenderFemale
SpecialityNurse Practitioner
Location1200 Memorial Dr, Dalton, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295202323
  • Provider Enumeration Date: 10/26/2018
  • Last Update Date: 01/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2769716786
  • Enrollment ID: I20190625003728

Medical Identifiers

Medical identifiers for Johanna Latrice Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295202323NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN260949 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Johanna Latrice Kennedy allows following entities to bill medicare on her behalf.
Entity NameHamilton Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528056066
PECOS PAC ID: 0446151179
Enrollment ID: O20040116000053
Entity NameOne Stop Medical Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790098457
PECOS PAC ID: 6709942170
Enrollment ID: O20110204000204
Entity NamePost Acute Care Leaders Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033689336
PECOS PAC ID: 4082951546
Enrollment ID: O20190123000710
Entity NameUtm Of Georgia Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255893038
PECOS PAC ID: 5991138307
Enrollment ID: O20191125002037

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johanna Latrice Kennedy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Johanna Latrice Kennedy, NP
1200 Memorial Dr,
Dalton, GA 30720-2529

Ph: (706) 272-6000		Johanna Latrice Kennedy, NP
1200 Memorial Dr,
Dalton, GA 30720-2529

Ph: (706) 272-6000

Reviews and Comments


Nurse Practitioner Nurses in Dalton, GA

Mrs. Jessica Sanders, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1525 Chattanooga Rd, Dalton, GA 30720
Phone: 706-529-7124    Fax: 706-529-7126
Mrs. Katie Louise Wooten, NP-C
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Practice Location: 475 Reed Rd Ste 104, Dalton, GA 30720
Phone: 706-278-1622    Fax: 706-272-6445
Karen Lolley, NP-C
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Practice Location: 443 Gillum Dr Ste 3, Dalton, GA 30721
Phone: 706-229-9709    Fax: 706-229-9779
Joy Bernice Whaley, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 808 Professional Blvd, Dalton, GA 30720
Phone: 706-226-2621    Fax: 706-281-2325
Mrs. Kelli Michelle Welch, APRN BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2918 E Walnut Ave, Dalton, GA 30721
Phone: 706-529-4600    Fax: 706-529-4633
Autumn Denise Bartenfield, APN
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Medicare: Accepting Medicare Assignments
Practice Location: 1525 Chattanooga Ave, Dalton, GA 30720
Phone: 706-529-7124    Fax: 706-529-7126
Rod Lee Lewis, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1107 Memorial Dr Ste 200, Dalton, GA 30720
Phone: 706-226-9355    Fax: 706-226-9380

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.