Individual provider Active NPI

Kenney Scott Atkins, M.D.

  • Family Medicine Physician
  • Blue Ridge, GA
National Provider Identifier
1104848977
Registry record updated Jul 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
024386 Issued in GA
Practice address
4799 Blue Ridge Dr
Suite 100
Blue Ridge, GA 30513-3240
Phone
(706) 964-3345
Fax
(706) 964-3347
NPI assigned
Jul 24, 2006
Last updated
Jul 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16029 TN
Family Medicine Physician 207Q00000X 024386 GA Primary

Addresses

Primary practice location

4799 Blue Ridge Dr
Suite 100
Blue Ridge, GA 30513-3240

Mailing address

PO Box 669
MC Caysville, GA 30555-0669
Phone (706) 964-3345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16029TNMDFamily Medicine Physician

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1563/brand/1/csg/41/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279411200000",
    "number": "1104848977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "MC CAYSVILLE",
            "state": "GA",
            "postal_code": "305550669",
            "telephone_number": "706-964-3345",
            "fax_number": "706-964-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4799 BLUE RIDGE DR",
            "address_2": "SUITE 100",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305133240",
            "telephone_number": "706-964-3345",
            "fax_number": "706-964-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINS",
        "first_name": "KENNEY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "16029",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "024386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2010; 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.