Individual provider Active NPI

Lawrence Patrick McKean, M.D.

  • Allergy & Immunology Physician
  • Atlanta, GA
National Provider Identifier
1891891982
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
032239 Issued in GA
Practice address
17 Executive PRK Drive NE
Suite 250
Atlanta, GA 30329-2220
Phone
(678) 904-4390
Fax
(678) 904-4395
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 032239 GA Primary

Addresses

Primary practice location

17 Executive PRK Drive NE
Suite 250
Atlanta, GA 30329-2220

Mailing address

5555 Peachtree Dunwoody Rd NE
Suite 235
Atlanta, GA 30342-1703
Phone (404) 255-2918

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070425000218 GA Practitioner - Pediatric MedicinePractitioner - Allergy/Immunology 7810092566 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
032239GAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefrey D Lieberman MD PC Current Accepting new patients
Atlanta ENT Sinus & Allergy Associates PC CurrentSince May 1, 2007 Accepting new patients
Emory Childrens Center Past Accepting new patients

Locations

17 Executive Park Dr NE
Ste 250
Atlanta, GA 30329
Phone (678) 904-4390

5555 Peachtree Dunwoody Rd
Ste 125
Sandy Springs, GA 30342
Phone (404) 255-1918

5555 Ptree Dunwoody Rd NE
Ste 235
Sandy Springs, GA 30342
Phone (404) 255-2918

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHBJBD
  • Direct secure messaging: lawrence.mckean@9477.chartlogic.direct-ci.com
  • Direct secure messaging: lmckean5458@choa.gadirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1891891982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 235",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421703",
            "telephone_number": "404-255-2918",
            "fax_number": "404-250-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 EXECUTIVE PRK DRIVE NE",
            "address_2": "SUITE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292220",
            "telephone_number": "678-904-4390",
            "fax_number": "678-904-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEAN",
        "first_name": "LAWRENCE",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "GA",
            "license": "032239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.