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

MS. Paige B. Kenway, AGPCNP-BC

Individual provider Nurse Practitioner · NPI 1720548704

MS. Paige B. Kenway, AGPCNP-BC is a Nurse Practitioner in Fayetteville, Georgia. Qualified in 2019, 7 years ago. Practices with Brightmoor Hospice LLC, a 6-clinician group. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2019
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Practice location Address checks out

132 Old Norton Rd Ste 200
Fayetteville, GA 30215-4873
Phone: (678) 817-1117
Fax: (678) 817-0823
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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 RN222344 (GA)

Record details

NPI number1720548704
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedMarch 25, 2019
Last updated in NPPESAugust 24, 2020
Certification dateAugust 24, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Brightmoor Hospice Llc — 6 clinicians
Accepts Medicare assignment Not indicated

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