Kenneth Chen, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

062825 Issued in GA

Practice address

2213 A Exchange Place
Conyers, GA 30013-6723

Phone

(770) 483-4431

Fax

(770) 760-7200

NPI assigned

Sep 22, 2006

Last updated

Nov 16, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pediatric Health Care of Conyers

  • Pediatrics Physician
  • Conyers, GA
  • NPI 1437507795
  NPD (past)
• Pediatric Health Center of Conyers, PC

  dba Pediatric Health Center

  • Pediatrics Physician
  • Dunwoody, GA
  • NPI 1013079987
  NPD (past)
• Piedmont Rockdale Hospital Inc.

  • General Acute Care Hospital
  • Conyers, GA
  • NPI 1306355680
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1881794881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 A EXCHANGE PLACE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136723",
            "telephone_number": "770-483-4431",
            "fax_number": "770-760-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 A EXCHANGE PLACE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136723",
            "telephone_number": "770-483-4431",
            "fax_number": "770-760-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "NY241700",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "062825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chariot Medical Transport Services, LLC
• Janice Chatman-Jarrett, REGISTERED NURSE
• Elizabeth Check, D.D.S.
• Ashley Shearer Cheek, NP-C
• Bert Tsi Chen, M.D.
• Dartiss May Chevalier, PMHNP-BC
• Kenyatta Chichester, RDH
• Chinyere Chigbu, FNP-C
• Children's Medical Central
• Children's Medicine of Rockdale

• Pediatrics Physician in Conyers, GA
• Providers in Conyers, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.