Organization Active NPI

Complete Care Solutions, Inc.

  • Independent Medical Examiner Chiropractor
  • Vinings, GA
National Provider Identifier
1477913838
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
CHIR008066 Issued in GA
Legal business name
COMPLETE CARE SOLUTIONS, INC.
Practice address
2325 Log Cabin Dr SE Ste 107
Vinings, GA 30339-6742
Phone
(770) 432-1199
Fax
(770) 432-1195
NPI assigned
Feb 29, 2016
Last updated
Feb 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Dr. Kenneth Lennell McRae, D.C.NPI 1245397702
Title
Ceo
Phone
(770) 432-1199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Chiropractor 111NI0013X CHIR008066 GA Primary

Addresses

Primary practice location

2325 Log Cabin Dr SE Ste 107
Vinings, GA 30339-6742

Mailing address

2325 Log Cabin Dr SE Ste 107
Vinings, GA 30339-6742
Phone (770) 432-1199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160321001515 GA Part B Supplier - Clinic/Group Practice 2860628773 Receives reassigned benefits from 1 practitioner
Practice locations: Vinings, GA

National Provider Directory

National Provider Directory

Locations

2325 Log Cabin Dr SE
Ste 107
Vinings, GA 30339
Phone (678) 239-4864

Practitioners & affiliated clinicians

Practitioners 1

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": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1477913838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 LOG CABIN DR SE STE 107",
            "city": "VININGS",
            "state": "GA",
            "postal_code": "303396742",
            "telephone_number": "770-432-1199",
            "fax_number": "770-432-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 LOG CABIN DR SE STE 107",
            "city": "VININGS",
            "state": "GA",
            "postal_code": "303396742",
            "telephone_number": "770-432-1199",
            "fax_number": "770-432-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "LENNELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-432-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "GA",
            "license": "CHIR008066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinings, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.