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

Kenette St-Gourdin, MD

Individual provider Hospitalist Physician · NPI 1619506557

Kenette St-Gourdin, MD is an Internal Medicine in Marietta, Georgia. Qualified in 2018, 8 years ago. Practices with Epitome Primary Care, a 2-clinician group and accepts Medicare assignment. Licensed in Georgia and Missouri.

Years since qualifying
8
Licensed in
GA, MO
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

631 Campbell Hill St NW Ste 200
Marietta, GA 30060-1390
Phone: (770) 727-4130
Fax: (770) 800-1334
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 96398 (GA)
Hospitalist Physician Taxonomy 208M00000X · Licence 2023049186 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619506557
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2020
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Epitome Primary Care — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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