Active NPI
Reginald B McKenzie, CPS-AD
- Peer Specialist
- Tucker, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 1957 Lakeside Pkwy Ste 510
Tucker, GA 30084-5859 - Phone
- (678) 289-0313
- Fax
- (404) 289-0314
- NPI assigned
- Mar 31, 2025
- Last updated
- Mar 31, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | NU | Primary |
Addresses
Primary practice location
1957 Lakeside Pkwy Ste 510
Tucker, GA 30084-5859
Mailing address
PO Box 479
Avondale Estates, GA 30002-0479
Phone (404) 289-0313
Other practice location 1
4229 Snapfinger Woods Dr
Decatur, GA 30035-3440
Phone (404) 286-9252
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Consultants of Atlanta, Inc. | Current | Accepting new patients | |
| Recovery Consultants of Atlanta, Inc. | Past | Accepting new patients |
Locations
4229 Snapfinger Woods Dr
Decatur, GA 30035
Phone (404) 286-9252
1957 Lakeside Pkwy
Ste 510
Tucker, GA 30084
Phone (404) 289-0313
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DEGGAD
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Tucker, GA
- NPI 1851482376
-
dba Unity Health Systems of Georgia
- Federally Qualified Health Center (FQHC)
- Decatur, GA
- NPI 1053769273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1235932633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 479",
"city": "AVONDALE ESTATES",
"state": "GA",
"postal_code": "300020479",
"telephone_number": "404-289-0313",
"fax_number": "404-289-0314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1957 LAKESIDE PKWY STE 510",
"city": "TUCKER",
"state": "GA",
"postal_code": "300845859",
"telephone_number": "678-289-0313",
"fax_number": "404-289-0314"
}
],
"practiceLocations": [
{
"address_1": "4229 Snapfinger Woods Dr",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300353440",
"country_code": "US",
"telephone_number": "404-286-9252",
"fax_number": "404-286-9253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKENZIE",
"first_name": "REGINALD",
"middle_name": "B",
"credential": "CPS-AD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-31",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.