Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Kenneth C. Holbrook, PA
Physician Assistant in Austell, GA · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1194790139
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Registry record
Entity type Individual (Type 1)
Name Kenneth C. Holbrook
Credential PA
Sex Male
Practice address 2041 Mesa Valley Way, Suite 100, Austell, GA, 30106
Phone (770) 944-1100
Fax (770) 944-6469
Enumeration date Feb 22, 2006
Last updated in NPPES May 20, 2011
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 003877 (GA) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000150059B | Medicaid | GA | - |
| 100002161B | Medicaid | GA | - |
| 000150059C | Medicaid | GA | - |
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 1194790139 active?
Yes, as of the latest NPPES snapshot, NPI 1194790139 is active (record last updated 2011-05-20).
How do I verify Kenneth Holbrook's NPI record?
Cross-check NPI 1194790139 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-05-20.