Provider Type Icon

STACEY W MCKENZIE MD NPI 1699768101


NPI Information

NPI: 1699768101
Provider Name: STACEY W MCKENZIE, MD
Classification: Internal Medicine - 207RI0200X
Entity Type: Individual

Specialization: Infectious Disease

PECOS Registration: Yes

Address:
2151 CENTURY LN
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 926-2500
Get Directions

Stacey W Mckenzie, MD is an infectious disease internal medicine in Johnson City, TN. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. Stacey W Mckenzie, MD NPI is 1699768101. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2151 CENTURY LN
JOHNSON CITY, TN
ZIP 37604-469
Phone: (423) 926-2500
Fax: (423) 926-5999

The NPI 1699768101 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2005 and was last updated on 5/3/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0200XInternal MedicineInfectious Disease18756TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q010241MEDICAIDTENNESSEE
21031I15209MEDICARE PINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.