Active NPI
Dennis Garrett McKenna, P.A.-C.
- Physician Assistant
- Canton, GA
National Provider Identifier
1568670701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002070
- Practice address
- 210 Oakside LN
Suite C
Canton, GA 30114-6417 - Phone
- (678) 593-1295
- Fax
- (678) 593-1294
- NPI assigned
- May 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002070 | GA | Primary |
Addresses
Primary practice location
210 Oakside LN
Suite C
Canton, GA 30114-6417
Mailing address
550 Peachtree St NE
Suite 1600
Atlanta, GA 30308-2208
Phone (404) 888-7575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002070 | GA | MD | Professional Counselor |
| 958 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cobb Anesthesia, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiologist Assistant
- Austell, GA
- NPI 1811944705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786838400000",
"number": "1568670701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"address_2": "SUITE 1600",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082208",
"telephone_number": "404-888-7575",
"fax_number": "404-885-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 OAKSIDE LN",
"address_2": "SUITE C",
"city": "CANTON",
"state": "GA",
"postal_code": "301146417",
"telephone_number": "678-593-1295",
"fax_number": "678-593-1294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNA",
"first_name": "DENNIS",
"middle_name": "GARRETT",
"name_prefix": "Mr.",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-20",
"last_updated": "2026-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "002070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.