Kesha Lenita McRae, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014666 Issued in GA

Practice address

5193 Peachtree Blvd Ste C
Chamblee, GA 30341-2847

Phone

(470) 541-2427

NPI assigned

Oct 1, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1780011155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 BROAD ST SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013726",
            "telephone_number": "770-535-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5193 PEACHTREE BLVD STE C",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412847",
            "telephone_number": "470-541-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRAE",
        "first_name": "KESHA",
        "middle_name": "LENITA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014666",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rian Maxwell-Williams
• Eugene Burton May Jr., LCSW
• Christine Lavern McFarlane, NP-C
• Chara McGill
• Samantha Lashawn McGirt, M.A., LPC, LCMHC
• Thomas Edward Medcalf, RPT
• Medsolution ZLN, LLC
• Christopher J Melatti
• Mavis K Mensah, RN
• Case Dannon Merritt, DC

• General Practice Dentistry in Chamblee, GA
• Providers in Chamblee, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.