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

Avery Suzanne Kemp, AGACNP-BC

Individual provider Registered Nurse · NPI 1902504582

Avery Suzanne Kemp, AGACNP-BC is a Nurse Practitioner in Atlanta, Georgia. Qualified in 2022, 4 years ago. Practices with Northside Primary Care Professional Services, LLC, a 311-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

960 Johnson Ferry Rd Ste 500
Atlanta, GA 30342-1630
Phone: (404) 257-0006
Fax: (404) 851-1316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN277577 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN277577 (GA)

Record details

NPI number1902504582
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedFebruary 22, 2023
Last updated in NPPESApril 4, 2023
Certification dateApril 4, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northside Primary Care Professional Services,Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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