Active NPI
Mack Henry Kenney Jr.
- Driver
- Kathleen, GA
National Provider Identifier
1740979525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 052745615
- Practice address
- 406 Royal Crest Cir
Kathleen, GA 31047-2169 - Phone
- (770) 374-7110
- NPI assigned
- May 5, 2023
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | 052745615 | GA | Primary |
Addresses
Primary practice location
406 Royal Crest Cir
Kathleen, GA 31047-2169
Mailing address
103 Colleton Dr
Athens, GA 30606-7831
Phone (706) 206-2964
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052745615 | GA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenney Transport and Logistics | Current | 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.
-
- Non-emergency Medical Transport (VAN)
- Athens, GA
- NPI 1932898715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1740979525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 COLLETON DR",
"city": "ATHENS",
"state": "GA",
"postal_code": "306067831",
"telephone_number": "706-206-2964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 ROYAL CREST CIR",
"city": "KATHLEEN",
"state": "GA",
"postal_code": "310472169",
"telephone_number": "770-374-7110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEY",
"first_name": "MACK",
"middle_name": "HENRY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-05",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "GA",
"license": "052745615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kathleen, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.