MEDICARE: KYRA JANE TENNYSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	170300000X	Genetic Counselor (M.S.)

General Provider Information

NPI Number	:	1437082047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYRA JANE TENNYSON

Provider Business Mailing Address
First Line	:	2970 BRANDYWINE RD STE 125
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-5521
Country	:	US
Telephone Number	:	917-679-0529
Fax Number	:

Provider Business Practice Location Address
First Line	:	2174 N DRUID HILLS RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-3102
Country	:	US
Telephone Number	:	404-256-2593
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

Similar Medicare Providers

1932164506 — FRANCES MARTINEZ PNP-BC
Practice Location Address:

2174 N DRUID HILLS RD NE
ATLANTA, GA
30329-3102

Practice Phone: 404-785-5437
Practice Fax: 404-785-4750

1982653572 — MARTHA L CLABBY MD
Practice Location Address:

2174 N DRUID HILLS RD NE STE 630
ATLANTA, GA
30329-3102

Practice Phone: 404-256-2593
Practice Fax: 770-488-9408

1194775254 — DENNIS W KIM M.D., PHD.
Practice Location Address:

2174 N DRUID HILLS RD NE STE 630
ATLANTA, GA
30329-3102

Practice Phone: 404-256-2593
Practice Fax: 770-488-9408

1205876117 — DENVER SALLEE III M.D.
Practice Location Address:

2174 N DRUID HILLS RD NE STE 630
ATLANTA, GA
30329-3102

Practice Phone: 404-256-2593
Practice Fax: 770-488-9408

1407898174 — SHARON GOLUBIC CPNP
Practice Location Address:

2174 N DRUID HILLS RD NE
ATLANTA, GA
30329-3102

Practice Phone: 404-785-5437
Practice Fax: 404-785-9087

1548349012 — SAMPATH PRAHALAD MD
Practice Location Address:

2174 N DRUID HILLS RD NE
ATLANTA, GA
30329-3102

Practice Phone: 404-785-5437
Practice Fax: 404-785-9096

Directions to “ KYRA JANE TENNYSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.