Individual provider

Kashondra Harris, FNP

Family Nurse Practitioner Family Medicine Physician Medicare enrolled

Kashondra Harris, FNP is a Family Nurse Practitioner in Kennesaw, GA, registered under NPI 1104458751. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 2782 N COBB PKWY, Kennesaw, GA 30152. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2782 N COBB PKWY, Kennesaw, GA 30152 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
RN220216 GA Family Nurse Practitioner primary
AP70014578 WA Family Medicine Physician
0024188994 VA Family Medicine Physician
5022496 NC Family Medicine Physician
APN0102926-C-NP CO Family Medicine Physician
0038608 OH Family Medicine Physician
A185201 IA Family Medicine Physician
1176309 TX Family Medicine Physician
26NJ15421300 NJ Family Medicine Physician
APRN11030058 FL Family Medicine Physician
40023 TN Family Medicine Physician

Licences are recorded in 11 states: GA, WA, VA, NC, CO, OH, IA, TX, NJ, FL, TN. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
7416369541

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 11 states

This provider holds licences in 11 states: Colorado, Florida, Georgia, Iowa, North Carolina, New Jersey, Ohio, Tennessee, Texas, Virginia and Washington. The practice address on file is in Kennesaw, GA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CO Colorado
Licence
APN0102926-C-NP
Specialty
Family Medicine Physician
Verify with the CO board →
FL Florida
Licence
APRN11030058
Specialty
Family Medicine Physician
Verify with the FL board →
GA Georgia practice address
Licence
RN220216
Specialty
Family Nurse Practitioner
Verify with the GA board →
IA Iowa
Licence
A185201
Specialty
Family Medicine Physician
Verify with the IA board →
NC North Carolina
Licence
5022496
Specialty
Family Medicine Physician
Verify with the NC board →
NJ New Jersey
Licence
26NJ15421300
Specialty
Family Medicine Physician
Verify with the NJ board →
OH Ohio
Licence
0038608
Specialty
Family Medicine Physician
Verify with the OH board →
TN Tennessee
Licence
40023
Specialty
Family Medicine Physician
Verify with the TN board →
TX Texas
Licence
1176309
Specialty
Family Medicine Physician
Verify with the TX board →
VA Virginia
Licence
0024188994
Specialty
Family Medicine Physician
Verify with the VA board →
WA Washington
Licence
AP70014578
Specialty
Family Medicine Physician
Verify with the WA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 11 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LF0000X Family Nurse Practitioner Family RN220216 GA primary
207Q00000X Family Medicine Physician AP70014578 WA
207Q00000X Family Medicine Physician 0024188994 VA
207Q00000X Family Medicine Physician 5022496 NC
207Q00000X Family Medicine Physician APN0102926-C-NP CO
207Q00000X Family Medicine Physician 0038608 OH
207Q00000X Family Medicine Physician A185201 IA
207Q00000X Family Medicine Physician 1176309 TX
207Q00000X Family Medicine Physician 26NJ15421300 NJ
207Q00000X Family Medicine Physician APRN11030058 FL
207Q00000X Family Medicine Physician 40023 TN

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104458751 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 11, 2020
Last updatedOct 21, 2025
StatusActive
Sole proprietorNo
CredentialFNP
Practice address 2782 N COBB PKWY
Kennesaw, GA 30152
(866) 389-2727
Mailing address 120 GRAFTON ST
Hampton, GA 30228
This record was updated on Oct 21, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104458751 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 4 5 8 7 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 8 5 7 7 1

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104458751?
NPI 1104458751 is the National Provider Identifier assigned to Kashondra Harris, FNP in Kennesaw, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Kashondra Harris, FNP?
The phone number on file with NPPES is (866) 389-2727, last updated Oct 21, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kashondra Harris, FNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104458751 a valid number?
Yes. 1104458751 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.