Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anslie Prudhomme

Individual provider Family Nurse Practitioner · NPI 1285126391

Anslie Prudhomme is a Nurse Practitioner in Roswell, Georgia. Qualified in 2018, 8 years ago. Practices with Kcp Enterprises, a 2-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2018
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Practice location Address checks out

4364 Burnleigh Chase NE
Roswell, GA 30075-1956
Phone: (904) 545-0747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN273932 (GA)

Record details

NPI number1285126391
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 4, 2018
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Kcp Enterprises — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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