Reconstructive and Plastic Urology LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

RECONSTRUCTIVE AND PLASTIC UROLOGY LLC

Practice address

3193 Howell Mill Rd NW Ste 322
Atlanta, GA 30327-2100

Phone

(470) 788-8379

NPI assigned

May 16, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenneth Jeff Carney, MDNPI 1922033281

Title

Owner

Phone

(404) 593-1176

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Jeff Carney, M.D., PHARMD

  • Urology Physician
  • Atlanta, GA
  • NPI 1922033281
  NPD Authorized official
• Steven Lee Morganstern, MD

  • Urology Physician
  • Atlanta, GA
  • NPI 1639282478
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1033856711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071225",
            "telephone_number": "404-593-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW STE 322",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272100",
            "telephone_number": "470-788-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECONSTRUCTIVE AND PLASTIC UROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-593-1176",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulina Alejandra Rebolledo Esteinou, MD
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• Madeline Rech, BS
• Abigail Rose Recko
• Reconnect Chiropractic (Cafe of Life Chiropractic Center)
• Elizabeth Record, CPNP, DNP
• Recovery Chiropractic LLC
• Recovery Path Healthcare LLC
• Aliya Victorine Redd, MD
• Douglas C. Redd, M.D.

• Urology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.