Active NPI
Glenn Benard McKenna, MD
- Emergency Medicine Physician
- Anderson, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2017039490
- Practice address
- 800 N Fant St
Anderson, SC 29621-5708 - Phone
- (864) 512-1000
- NPI assigned
- Nov 21, 2006
- Last updated
- Apr 11, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 82260 | SC | |
| Emergency Medicine Physician | 207P00000X | 4301508615 | MI | |
| Emergency Medicine Physician | 207P00000X | 2017039490 | MO | Primary |
Addresses
Primary practice location
800 N Fant St
Anderson, SC 29621-5708
Mailing address
1116 Parker PL NE
Atlanta, GA 30324-5402
Phone (404) 931-7978
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MO, SC, KY, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
145 Newcomb Ave
Mount Vernon, KY 40456-2728
Phone (606) 256-2195
210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-5104
801 5TH St
Sioux City, IA 51101-1326
Phone (712) 279-2010
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301508615 | MI | MD | Emergency Medicine Physician |
| 82260 | SC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Cassville | Current | Accepting new patients | |
| Ich ER Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Rockcastle Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Cassville | Current | Accepting new patients | |
| Mercy Hospital Aurora | Current | Accepting new patients | |
| Concord Medical Group of Kentucky PLLC | Emergency Medicine | Current | Accepting new patients |
| Ohio County Hospital Corporation | Emergency Medicine | Current | Accepting new patients |
| Ohio County Hospital Corporation | Current | Accepting new patients | |
| South Central Physicians PLLC | Current | Accepting new patients | |
| Ohio County Hospital Corporation | Current | Accepting new patients | |
| Woodbury Emergency Group, PC | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Aurora | Current | Accepting new patients | |
| Inphynet Primary Care Physicians Southeast PC | Emergency Medicine | Current | Accepting new patients |
| Potosi Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Missouri HB Medical Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Parkway Anesthesia Consultants, PC | Past | Accepting new patients | |
| Emerginet SRMC, LLC | Emergency Medical Services | Past | Accepting new patients |
| 24 On Physicians, PC | Past | Accepting new patients | |
| Immediate Care Centers of Georgia, LLC | Past | Accepting new patients | |
| Emerginet Henry, LLC | Emergency Medical Services | Past | Accepting new patients |
Locations
2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
801 5th St
Sioux City, IA 51101
Phone (712) 279-2010
1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561
1011 Old Highway 60
Hardinsburg, KY 40143
Phone (270) 756-7000
1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806
210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047
4604 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-5000
145 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2195
500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122
94 Main St
Cassville, MO 65625
Phone (417) 782-7722
300 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977
3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000
800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000
Organizations & group practices 20
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.
-
- Emergency Medicine Physician
- Hardinsburg, KY
- NPI 1346746385
-
- Emergency Medicine Physician
- Sioux City, IA
- NPI 1447813316
-
- Emergency Medicine Physician
- Anderson, SC
- NPI 1174002059
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1770521460
-
- Critical Access Hospital
- Aurora, MO
- NPI 1467543090
-
- Critical Access Hospital
- Cassville, MO
- NPI 1285676932
-
- Emergency Medicine Physician
- Poplar Bluff, MO
- NPI 1922868462
-
dba Ohio County Surgical Care
- Surgery Physician
- Hartford, KY
- NPI 1407049000
-
- Emergency Medicine Physician
- Potosi, MO
- NPI 1881075349
-
- Medicare Defined Swing Bed Hospital Unit
- Aurora, MO
- NPI 1295878981
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Denison, IA
- NPI 1578555116
-
dba Adventhealth Manchester
- Rural Acute Care Hospital
- Manchester, KY
- NPI 1811922347
-
dba St Lukes Regional Medical Center
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
-
dba Rockcastle Regional Hospital and Respiratory Care Center
- General Acute Care Hospital
- Mount Vernon, KY
- NPI 1104890714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1609941251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 PARKER PL NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303245402",
"telephone_number": "404-931-7978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N FANT ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296215708",
"telephone_number": "864-512-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNA",
"first_name": "GLENN",
"middle_name": "BENARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "82260",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301508615",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2017039490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.