Individual provider Active NPI

Kelly McKenzie Stone, DC

  • Chiropractor
  • Buford, GA
National Provider Identifier
1912418955
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009960 Issued in GA
Practice address
1630 Buford Hwy Ste 6
Buford, GA 30518-3630
Phone
(678) 595-4320
NPI assigned
Oct 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009960 GA Primary

Addresses

Primary practice location

1630 Buford Hwy Ste 6
Buford, GA 30518-3630

Mailing address

2647 Brook Forest Dr
Lawrenceville, GA 30043-7654
Phone (678) 595-4320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220107000590 GA Practitioner - Chiropractic 3779974456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1630 Buford Hwy
Suite 6
Buford, GA 30518-3630
Phone 77094505613630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009960GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Health Services, LLC Chiropractor Current Accepting new patients
Happy Spine Healthy Life Chiropractic, LLC Chiropractor Current Accepting new patients
Lilburn Family Chiropractic LLC Chiropractor CurrentSince Aug 20, 2025 Accepting new patients

Locations

4530 Nelson Brogdon Blvd
Buford, GA 30518
Phone (770) 271-8949

1630 Buford Hwy
Ste 6
Buford, GA 30518
Phone (678) 595-4320

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": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1912418955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 BROOK FOREST DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437654",
            "telephone_number": "678-595-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 BUFORD HWY STE 6",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183630",
            "telephone_number": "678-595-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "KELLY",
        "middle_name": "MCKENZIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.