Kenneth L McRae, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

008066 Issued in GA

Practice address

2325 Log Cabin Dr SE
Suite 107
Smyrna, GA 30080-6798

Phone

(770) 432-1199

Fax

(770) 432-1195

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Complete Care Solutions, Inc.

  • Independent Medical Examiner Chiropractor
  • Vinings, GA
  • NPI 1477913838
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1245397702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 LOG CABIN DR SE",
            "address_2": "SUITE 107",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806798",
            "telephone_number": "678-977-3326",
            "fax_number": "770-432-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 LOG CABIN DR SE",
            "address_2": "SUITE 107",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806798",
            "telephone_number": "770-432-1199",
            "fax_number": "770-432-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRAE",
        "first_name": "KENNETH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "008066",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "008066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Kevin McMahon
• Margaret Judith McMillan, ED.S.
• Nora McNeill, MD
• McPherson Health and Rehabilitation
• MCR Health, Inc.
• Janna Levisha McWilson, FNP-C
• MDC Med Lab LLC
• Amon A Meadows, DMD
• Medcura Health, Inc.
• Medical Consultants Group

• Chiropractor in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.