Organization Active NPI

Kenney S. Atkins M.D.,P.C.

  • General Practice Physician
  • Blue Ridge, GA
National Provider Identifier
1386795383
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
024386 Issued in GA
Legal business name
KENNEY S. ATKINS M.D.,P.C.
Practice address
4799 Blue Ridge Drive
Suite 100
Blue Ridge, GA 30513-0000
Phone
(706) 964-3345
Fax
(706) 964-3347
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Dr. Kenney Scott Atkins, M.D.
Title
Ceo
Phone
(706) 964-3345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 024386 GA Primary

Addresses

Primary practice location

4799 Blue Ridge Drive
Suite 100
Blue Ridge, GA 30513-0000

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
3013267MedicaidTN

National Provider Directory

National Provider Directory

Locations

44 Blue Ridge Dr
Mc Caysville, GA 30555
Phone (423) 476-3345

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1386795383",
    "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 DRIVE",
            "address_2": "SUITE 100",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305130000",
            "telephone_number": "706-964-3345",
            "fax_number": "706-964-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEY S. ATKINS M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "KENNEY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-964-3345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "024386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3013267",
            "state": "TN"
        }
    ],
    "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 Feb 29, 2008; 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.