Kashondra Denae Harris, FNP - Medicare Nurse Practitioner in Kennesaw, GA

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Kashondra Denae Harris, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Kennesaw, Georgia. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Llc, Family Medical And Urgent Care Clinic Of Mcdonough, Llc, Minuteclinic Diagnostic Of Virginia Llc, Minuteclinic Diagnostic Of Virginia Llc and her current practice location is 2782 N Cobb Pkwy, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Kashondra Denae Harris is licensed to practice in Georgia (license number RN220216) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1104458751.

Contact Information

Kashondra Denae Harris, FNP
2782 N Cobb Pkwy,
Kennesaw, GA 30152-3472
(866) 389-2727
Not Available

Map and Direction




Physician's Profile

Full NameKashondra Denae Harris
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location2782 N Cobb Pkwy, Kennesaw, Georgia
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kashondra Denae Harris graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1104458751
  • Provider Enumeration Date: 02/11/2020
  • Last Update Date: 10/21/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7416369541
  • Enrollment ID: I20201215001298

Medical Identifiers

Medical identifiers for Kashondra Denae Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104458751NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine AP70014578 (Washington)Secondary
207Q00000XFamily Medicine 0024188994 (Virginia)Secondary
207Q00000XFamily Medicine 5022496 (North Carolina)Secondary
207Q00000XFamily Medicine APN0102926-C-NP (Colorado)Secondary
207Q00000XFamily Medicine 0038608 (Ohio)Secondary
207Q00000XFamily Medicine A185201 (Iowa)Secondary
207Q00000XFamily Medicine 1176309 (Texas)Secondary
207Q00000XFamily Medicine 26NJ15421300 (New Jersey)Secondary
207Q00000XFamily Medicine APRN11030058 (Florida)Secondary
207Q00000XFamily Medicine 40023 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family RN220216 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minuteclinic Llc6709850241509
Family Medical And Urgent Care Clinic Of Mcdonough, Llc711305413120
Minuteclinic Diagnostic Of Virginia Llc6709960891129
Minuteclinic Diagnostic Of Virginia Llc6709960891129

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. Kashondra Denae Harris allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134191836
PECOS PAC ID: 6709850241
Enrollment ID: O20051024000186
Entity NameFamily Medical And Urgent Care Clinic Of Mcdonough, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043440530
PECOS PAC ID: 7113054131
Enrollment ID: O20100423000172
Entity NameGeorgia Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952746638
PECOS PAC ID: 4082853262
Enrollment ID: O20130619000316

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. Kashondra Denae Harris 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
Kashondra Denae Harris, FNP
120 Grafton St,
Hampton, GA 30228-3824

Ph: (478) 719-2286		Kashondra Denae Harris, FNP
2782 N Cobb Pkwy,
Kennesaw, GA 30152-3472

Ph: (866) 389-2727

Reviews and Comments



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.