Active NPI
Kenney S. Atkins M.D.,P.C.
- General Practice Physician
- Blue Ridge, GA
National Provider Identifier
1386795383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 024386
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3013267 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
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.