Individual provider Active NPI

Kenneth Jeff Carney, M.D., PHARMD

  • Urology Physician
  • Atlanta, GA
National Provider Identifier
1922033281
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
050349 Issued in GA
Practice address
3193 Howell Mill Rd NW Ste 322
Atlanta, GA 30327-2100
Phone
(470) 788-8379
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 050349 GA Primary

Addresses

Primary practice location

3193 Howell Mill Rd NW Ste 322
Atlanta, GA 30327-2100

Mailing address

955 Clifton Rd NE
Atlanta, GA 30307-1225
Phone (404) 593-1176

Other identifiers 1

IdentifierTypeStateIssuer
00914966BMedicaidGA

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
I20100816000683 GA Practitioner - UrologyPractitioner - Plastic and Reconstructive SurgeryPractitioner - Surgical Oncology 9032243837 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: Plastic and Reconstructive Surgery, Surgical Oncology
Education
Medical College of Georgia School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Floyd Physicians LLCGroup PAC ID 6406852375, 62 clinicians
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000

330 Hospital Dr
Suite 315
Macon, GA 31217-8042
Phone (478) 742-5331

Hospital & facility affiliations

  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036
  • Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
  • Atrium Health Floyd Medical Center Hospital, Rome, GA, CCN 110054

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urological Professional Services, LLC Urology CurrentSince Nov 1, 2021 Accepting new patients
Georgia Urology, PA CurrentSince Nov 1, 2021 Accepting new patients
Floyd Physicians, LLC Urology CurrentSince Aug 1, 2021 Accepting new patients
Georgia Urology PA Urology Current Accepting new patients
Georgia Urology PA Urology CurrentSince Nov 1, 2021 Accepting new patients
Savannah Multispecialty Associates, LLC CurrentSince Dec 24, 2023 Accepting new patients
Reconstructive and Plastic Urology LLC Urology CurrentSince Apr 14, 2023 Accepting new patients

Locations

4450 Calibre Xing NW
Acworth, GA 30101
Phone (770) 607-1893

3193 Howell Mill Rd NW
Ste 322
Atlanta, GA 30327
Phone (404) 352-3683

1930 Brannan Rd
McDonough, GA 30253
Phone (678) 284-4040

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

5730 Glenridge Dr
Ste 200
Sandy Springs, GA 30328
Phone (404) 252-5206

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

900 Towne Lake Pkwy
Ste 200
Woodstock, GA 30189
Phone (678) 494-9201

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1922033281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071225",
            "telephone_number": "404-593-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW STE 322",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272100",
            "telephone_number": "470-788-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "KENNETH",
        "middle_name": "JEFF",
        "credential": "M.D., PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "050349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00914966B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.