Active NPI
Robert Martin McKenna Jr., PA C
- Medical Physician Assistant
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- A676
- Practice address
- 5667 Peachtree Dunwoody Rd, NE
Suite 350
Atlanta, GA 30342-1725 - Phone
- (404) 252-7200
- Fax
- (404) 252-7397
- NPI assigned
- Jun 22, 2006
- Last updated
- Aug 12, 2008
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | A676 | SC | Primary |
Addresses
Primary practice location
5667 Peachtree Dunwoody Rd, NE
Suite 350
Atlanta, GA 30342-1725
Mailing address
5667 Peachtree Dunwoody Rd, NE
Suite 350
Atlanta, GA 30342-1725
Phone (404) 252-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0033PA | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3534 | GA | MD | Other Technician |
| A676 | SC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emory Clinic Inc | Current | Accepting new patients | |
| Bestpractices of South Carolina, PC | Past | Accepting new patients | |
| Musc Community Physicians | Past | Accepting new patients | |
| Atlanta Pulmonary Group, LLC | Past | Accepting new patients | |
| Critical Care Atlanta, LLC | Past | Accepting new patients | |
| Palmetto Pulmonary Medicine. P.a. | Past | Accepting new patients | |
| Beaufort Emergency Medicine, PA | Past | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889
Interoperability endpoints
- rmckenna21454@direct.emory.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Pulmonary Disease Physician
- Atlanta, GA
- NPI 1326128562
-
- Critical Care Medicine (Internal Medicine) Physician
- Atlanta, GA
- NPI 1407012586
-
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1659460004
-
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1154302446
-
dba MUSC Health Primary Care - Bowman
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Physician Assistant
- Beaufort, SC
- NPI 1659430726
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1679664395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1780620930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5667 PEACHTREE DUNWOODY RD, NE",
"address_2": "SUITE 350",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421725",
"telephone_number": "404-252-7200",
"fax_number": "404-252-7397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5667 PEACHTREE DUNWOODY RD, NE",
"address_2": "SUITE 350",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421725",
"telephone_number": "404-252-7200",
"fax_number": "404-252-7397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNA",
"first_name": "ROBERT",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "A676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0033PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.