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

Mr. Kenny Rey Padron, FNP

Individual provider Family Nurse Practitioner · NPI 1205537446

Mr. Kenny Rey Padron, FNP is a Nurse Practitioner in Atlanta, Georgia. Graduated from East Tennessee State University Quillen College of Medicine in 2022, 4 years ago. Practices with Gwinnett Dermatology, PC D/B/A Georgia Dermatology Partners, a 20-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
OH
In the registry since
2023
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3121 Maple Dr NE Ste 107
Atlanta, GA 30305-2519
Phone: (404) 909-3202
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0033122 (OH)

Record details

NPI number1205537446
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorYes
NPI enumeratedMarch 14, 2023
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Gwinnett Dermatology, Pc D/B/A Georgia Dermatology Partners — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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