Active NPI
Kenneth W Byers
- Internal Medicine Physician
- Cartersville, GA
National Provider Identifier
1699880740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 020969
- Practice address
- 650 Henderson Dr Ste 409
Cartersville, GA 30120-3723 - Phone
- (770) 387-3450
- Fax
- (770) 387-3425
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 020969 | GA | Primary |
Addresses
Primary practice location
650 Henderson Dr Ste 409
Cartersville, GA 30120-3723
Mailing address
650 Henderson Dr Ste 409
Cartersville, GA 30120-3723
Phone (770) 387-3450
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Healthcare | Past | Accepting new patients | |
| Whitehall Wellness Center | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238112000000",
"number": "1699880740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 HENDERSON DR STE 409",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301203723",
"telephone_number": "770-387-3450",
"fax_number": "770-387-3425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 HENDERSON DR STE 409",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301203723",
"telephone_number": "770-387-3450",
"fax_number": "770-387-3425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYERS",
"first_name": "KENNETH",
"middle_name": "W",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2009-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "020969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.