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Active NPI 1235932633 Individual Practitioner Male Practitioner

Reginald B Mckenzie , CPS-AD

Peer Specialist • Tucker, GA

Professional Overview & Biography Verified Profile Summary

Reginald Mckenzie, CPS-AD is a registered healthcare professional specializing in Peer Specialist in Tucker, GA. Practice services are available at 1957 LAKESIDE PKWY STE 510 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1957 Lakeside Pkwy Ste 510

Tucker, GA 300845859

Telephone 6782890313
Fax 4042890314
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Tucker, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Tucker, GA (113 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-31
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Secondary Practice Locations

4229 Snapfinger Woods Dr

Decatur, GA 300353440

Phone: 4042869252

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1154124550

CCMA, PTC, CGSP, CAMS

Bruenetter Ellis Wright , ADDICTION COUNSELOR

Counselor - Addiction (Substance Use Disorder)

NPI 1417750811

ADDICTIONCOUNSELOR

Cassandra Collins

Social Worker - Clinical

NPI 1467089409
NPI 1932902335

CARES, CPSAD

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 31, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2025

Registered at 1957 LAKESIDE PKWY STE 510, TUCKER, GA 300845859 (Tel: 6782890313)

📍
Updated Business Mailing Address March 31, 2025

Registered at PO BOX 479, AVONDALE ESTATES, GA 300020479 (Tel: 4042890313)

👤
Provider Name / Credentials Updated March 31, 2025

Recorded as REGINALD MCKENZIE, CPS-AD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2025

Peer Specialist

🟢
Initial NPI Registration & Enumeration March 31, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235932633
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2025
Last Update: March 31, 2025
Sole Proprietor: No

Mailing Address

Po Box 479

Avondale Estates, GA 300020479

Phone: 4042890313

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.