Kenette St-Gourdin, MD
Internal Medicine Physician · Marietta, GA
Kenette St-Gourdin, MD is an internal medicine physician with a practice address in Marietta, Georgia, and NPI 1619506557, issued on Apr 3, 2020. Check the license (Georgia 96398, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.
- Name
- Kenette St-Gourdin
- Credential
- MD
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License numbers
- 96398 GA
2023049186 MO
Self-reported in NPPES; status is on the state search - Practice location
- 631 Campbell Hill St NW Ste 200, Marietta, GA 30060
- Phone
- (770) 727-4130
- Enumerated
- Apr 3, 2020
- Record last updated
- Dec 4, 2024
- Fax
- (770) 800-1334
- Medicare enrollment
- Enrolled (PECOS I20250213001292); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 3,911 in Georgia → Look up another NPI →
Also registered at 631 Campbell Hill St NW Ste 200
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Windsor Pamphile, MDInternal Medicine Physician1700048188
Verify Kenette St-Gourdin in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 96398Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Epitome Primary CareMarietta, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kenette St-Gourdin among 3,911 internal medicine physician records in Georgia
Kenette St-Gourdin, MD is one of 3,911 internal medicine physician records with a practice address in Georgia. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 83% of them.
- NPI issued2020 · 83% of these records are older, 14% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 65% of these records are
- Graduated2018 · median 2005 among the 2,535 with a school on file
- Record last updated2024 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
122 internal medicine physician records list a practice address in Marietta
They are 122 of the 6,900 NPPES records with a practice address in Marietta, and 3,911 internal medicine physician records in Georgia.
All 3,911 in Georgia → Every provider in Marietta → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Jackson Bates, MDMarietta, GA 300601144210451
- Jerome Blumenthal, MDMarietta, GA 300601518957844
- David Cantrell, MDMarietta, GA 300601467425124
- Ryan Cantwell, MDMarietta, GA 300601023007457
- Charles Crabbe, MDMarietta, GA 300601891784229
- John Gelly, MDMarietta, GA 300601851381164
- Richard Griffith, MDMarietta, GA 300601528050838
- Van Hill, MDMarietta, GA 300601881677334
Common questions
What is Kenette St-Gourdin, MD's NPI number?
Kenette St-Gourdin, MD's National Provider Identifier (NPI) is 1619506557, issued on Apr 3, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Kenette St-Gourdin, MD located?
The NPPES record lists a practice address at 631 Campbell Hill St NW Ste 200, Marietta, GA, 30060. Phone: (770) 727-4130. Providers update this record themselves, so call before visiting.
How can I verify Kenette St-Gourdin, MD's license?
NPPES lists Georgia license number 96398, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.