Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Kenwana Michelle Vanderbilt, PSY.D.
Clinical Psychologist in Macon, GA · enumerated 2013.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1174864979
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Registry record
Entity type Individual (Type 1)
Name Dr. Kenwana Michelle Vanderbilt
Credential PSY.D.
Sex Female
Practice address Macon Outpatient Clinic- 5398 Thomaston Rd., Suite B, Macon, GA, 31220
Phone (478) 476-8868
Fax (478) 476-8161
Enumeration date Mar 5, 2013
Last updated in NPPES Mar 9, 2016
Taxonomy & licenses
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License PSY003494 (GA) Primary
PSYD · Doctor of Psychology: A clinical doctorate in psychology focused on professional practice.
About the PSYD credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1174864979 active?
Yes, as of the latest NPPES snapshot, NPI 1174864979 is active (record last updated 2016-03-09).
How do I verify Kenwana Vanderbilt's NPI record?
Cross-check NPI 1174864979 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-03-09.