Individual
NICOLE S KEARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4000 SHAKERAG HL STE 201, PEACHTREE CITY, GA 30269-4047
(770) 486-7111
Mailing address
4000 SHAKERAG HL STE 201, PEACHTREE CITY, GA 30269-4047
(770) 486-7111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
41059
TN
208000000X
Pediatrics Physician
Primary
78055
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195037
BETTER HEALTH PLANS OF TN
TN
01
—
38165
TLC
TN
05
—
3827707
—
TN
01
—
4133891
BCBS
TN
01
—
7347856
ATHENA
TN
Enumeration date
08/04/2006
Last updated
02/25/2026
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