NPIMap

Organization Active NPI

McKenna Farms Therapy Services Inc

  • Specialist
  • Dallas, GA
National Provider Identifier
1417904947
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MCKENNA FARMS THERAPY SERVICES INC
Practice address
3044 Due West Rd
Dallas, GA 30157-2125
Phone
(770) 443-9672
Fax
(770) 505-3595
NPI assigned
May 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cheryl Ziegler
Title
Billing Specialist
Phone
(770) 432-8996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

3044 Due West Rd
Dallas, GA 30157-2125

Mailing address

3044 Due West Rd
Dallas, GA 30157-2125
Phone (770) 443-9672

National Provider Directory

National Provider Directory

Locations

3044 Due West Rd
Dallas, GA 30157
Phone (770) 443-9672

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417904947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 DUE WEST RD",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301572125",
            "telephone_number": "770-443-9672",
            "fax_number": "770-505-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 DUE WEST RD",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301572125",
            "telephone_number": "770-443-9672",
            "fax_number": "770-505-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENNA FARMS THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIEGLER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "770-432-8996"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.