Jetoria Irving
Specialty details in registry · Kennesaw, GA
At a glance
1200 Ernest W Barrett Pkwy Nw Ste 200, Kennesaw, GA 30144-4513
NPPES record updated Sep 24, 2018. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
1200 Ernest W Barrett Pkwy Nw Ste 200Kennesaw, GA 30144-4513
Additional reported practice locations
4146 Highway 42Locust Grove, GA 302484106
Phone: 7708988872 805 Glynn St S Ste 131
Fayetteville, GA 302142010
Phone: 7704606651
Education & affiliations
No matching clinician background record in the imported CMS release.
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 1223G0001X
- Enumeration date
- Jul 24, 2018
- Record updated
- Sep 24, 2018
More registry details
- Provider type
- Individual · Type 1
Reported taxonomies and licenses
1223G0001X · Primary
License reported: DN015711 GA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1200 Ernest W Barrett Pkwy Nw Ste 200Kennesaw, GA 30144-4513
- Phone
- (678) 805-8057
Mailing address
1316 HIGHWAY 314FAYETTEVILLE, GA 30214
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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