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

Staci N Kenner, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1104088061

Staci N Kenner, MD is an Obstetrics/Gynecology in Cartersville, Georgia. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2008, 18 years ago. Practices with Cartersville Ob-Gyn Assoc PC, a 3-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
18
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
TX
In the registry since
2008
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

95B-A J.f Harris Pkwy Ste 102
Cartersville, GA 30120-2158
Phone: (770) 386-4824
Fax: (770) 386-4220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence BPI0030889 (TX)

Record details

NPI number1104088061
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2008
Last updated in NPPESDecember 13, 2013
Mailing address95b-A, J.F. Harris Pkwy, Suite 102, Cartersville, GA 30120-2158

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 2008 (18 years in practice)
Group practice Cartersville Ob-Gyn Assoc Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cartersville