Active NPI
Constantine S Kokenes, MD
- Anesthesiology Physician
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 030334
- Practice address
- 2701 N Decatur Rd
Decatur, GA 30033-5918 - Phone
- (678) 514-1991
- Fax
- (678) 514-1992
- NPI assigned
- Jun 6, 2006
- Last updated
- Feb 20, 2013
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 030334 | GA | Primary |
Addresses
Primary practice location
2701 N Decatur Rd
Decatur, GA 30033-5918
Mailing address
PO Box 551420
Fort Lauderdale, FL 33355-1420
Phone (800) 243-3839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000359389C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Duke University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Johnson Fy Rd NE
Suite 200
Atlanta, GA 30342-2073
Phone (404) 257-1900
2326 Hwy 34 E
Suite 100
Newnan, GA 30265-1328
Phone (678) 902-0457
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gainesville Foot and Ankle Surgery Center, PC | Current | Accepting new patients | |
| North Perimeter Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Plus LLC | Anesthesiology | Current | Accepting new patients |
| Dekalb Pain Center | Past | Accepting new patients | |
| Dekalb Anesthesia Associates, P a | Anesthesiology | Past | Accepting new patients |
| Endoscopy Consultants, LLC | Past | Accepting new patients |
Locations
3005 Royal Blvd S
Ste 200
Alpharetta, GA 30022
Phone (770) 680-2335
3330 Preston Ridge Rd
Ste 200
Alpharetta, GA 30005
Phone (404) 255-1000
10692 Medlock Bridge Rd
Ste 100A
Johns Creek, GA 30097
Phone (404) 446-2492
2520 Windy Hill Rd SE
Ste 105
Marietta, GA 30067
Phone (770) 952-5300
2326 Highway 34 E
Ste 100
Newnan, GA 30265
Phone (678) 902-0457
1975 Highway 54 W
Ste 205
Peachtree Cty, GA 30269
Phone (678) 561-9000
1100 Johnson Fy Rd NE
Ste 200
Sandy Springs, GA 30342
Phone (404) 257-1900
5669 Peachtree Dunwoody Rd
Ste 290
Sandy Springs, GA 30342
Phone (678) 399-2050
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Peachtree City, GA
- NPI 1609028174
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1457716516
-
- Ambulatory Surgical Clinic/Center
- Gainesville, GA
- NPI 1376614826
-
- Anesthesiology Physician
- Decatur, GA
- NPI 1528004538
-
- Pain Medicine Physician
- Decatur, GA
- NPI 1407892417
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1740328947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1255370938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 551420",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333551420",
"telephone_number": "800-243-3839",
"fax_number": "954-839-2569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 N DECATUR RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335918",
"telephone_number": "678-514-1991",
"fax_number": "678-514-1992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOKENES",
"first_name": "CONSTANTINE",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "030334",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000359389C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.