KATHRYN GRACE ENTREKIN NPI 1093346470

NPI Information

  • NPI: 1093346470
  • Provider Name: KATHRYN GRACE ENTREKIN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 112 CORPORATE DR
    CARROLLTON, GA
    ZIP 30117
  • Phone: (770) 214-2300

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NPI Details

Kathryn Grace Entrekin is a psychiatric/mental health nurse practitioner in Carrollton, GA with 4 years of experience. Kathryn Grace Entrekin NPI is 1093346470. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

112 CORPORATE DR
CARROLLTON, GA
ZIP 30117-464
Phone: (770) 214-2300
Fax: (770) 214-9756

The NPI 1093346470 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy with evaluation and management visit, 30 minutes (HCPCS:90833)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 2/4/2020 and was last updated on 9/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0807XRegistered NursePsychiatric/Mental Health, Child & AdolescentRN197971GEORGIANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthRN197971GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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