Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Stacy H. Kendrick, PA
Physician Assistant in Austell, GA · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1821064395
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Registry record
Entity type Individual (Type 1)
Name Stacy H. Kendrick
Credential PA
Sex Female
Practice address 2041 Mesa Valley Way, Suite 100, Austell, GA, 30106
Phone (770) 944-1100
Fax (770) 944-6469
Enumeration date Feb 24, 2006
Last updated in NPPES Feb 5, 2009
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 004549 (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 |
|---|---|---|---|
| 407818938A | Medicaid | GA | - |
| 407818938C | Medicaid | GA | - |
| 407818938D | 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 this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Stacy Kendrick?
Stacy Kendrick is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-02-05.