Stanton M McKenna, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

59100 Issued in GA

Practice address

4920 Roswell Rd NE Ste 35
Atlanta, GA 30342-2636

Phone

(404) 303-2323

Fax

(404) 303-0321

NPI assigned

Dec 5, 2007

Last updated

Dec 5, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Senocare LLC

  • Occupational Medicine Physician
  • Atlanta, GA
  • NPI 1780536730
  NPD Authorized official
• McKenna General Medical, LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1164683645
  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1447432067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 ROSWELL RD NE STE 35",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422636",
            "telephone_number": "404-303-2323",
            "fax_number": "404-303-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 ROSWELL RD NE STE 35",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422636",
            "telephone_number": "404-303-2323",
            "fax_number": "404-303-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "STANTON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "59100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Austin McKellar
• Margi A. McKellar, PA-C
• Catherine McKendrick, LPC
• Joseph William McKenna, D.C.
• Robert Martin McKenna Jr., PA C
• Aleah Olivia McKenney
• Mariel Ann Box McKenney
• Latasha McKenzie Mack
• Anne Marie McKenzie-Brown, MD
• Alfreda Lynn McKenzie, CCC-SLP

• General Practice Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.