Kenney Scott Atkins, M.D.
Individual provider Active NPI Family Medicine Physician · Blue Ridge, GA
NPI 1104848977 · NPPES record last updated Jul 18, 2010
Key facts
- NPI
- 1104848977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 024386 (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
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024386 | GA | MD | Family Medicine Physician |
| 16029 | TN | MD | Family Medicine Physician |
Interoperability endpoints
- https://api.platform.athenahealth.com/1563/brand/1/csg/41/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 16029 | TN | |
| Family Medicine Physician | 207Q00000X | 024386 | GA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0595594 | Other | GA | BLUE CROSS OF GEORGIA |
| 00260763A | Medicaid | GA | |
| 0059988 | Other | TN | BLUE CROSS OF TENNESSEE |
| 3013267 | Medicaid | TN |
Other providers in Blue Ridge, GA
- Tracy L. Allen
- Amedisys Northwest LLC
- Harriette Angi Arscott
- Umer Ashraf
- Assist Healthcare Services, Inc.
- Shannon Marie Ayers
- Ailly Bocado Bagorio
- Shipra Bansal
- Sara Barbosa
- Wayne Herbert Barth
All providers in Blue Ridge, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.