GLENN BENARD MCKENNA (MD) – Emergency Medicine Physician, NPI 1609941251

GLENN BENARD MCKENNA (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 82260 (SC). The NPI Number for GLENN BENARD MCKENNA (MD) is 1609941251

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
GLENN BENARD MCKENNA (MD)
NPI
1609941251
Phone
(404) 931-7978
Address
1116 PARKER PL NE
Enumeration Date
21 November 2006
Last Update Date
11 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7122792010
Graduation Year
1997 (29 years ago)
PAC ID
3678643426
Group Practice PAC ID
2961737317
Professional Enrollment ID
I20240520002554
Address ID
IA511011326SI801XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

1,052 EMERGENCY MEDICINE in SC

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Provider Addresses for GLENN BENARD MCKENNA (MD)

  • 1116 PARKER PL NE

    ATLANTA, GA 303245402

    Phone: (404) 931-7978

    Type: Mailing

  • AnMed Health Medical Center, 800, North Fant Street, Allen Hills, Anderson, Anderson County, South Carolina, 29621, United States

    ANDERSON, SC 296215708

    Phone: (864) 512-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-20

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080605000127IEmergency MedicineGATBD
I20171114003595IEmergency MedicineMOTBD
I20190822002725IEmergency MedicineSCTBD
I20231027002207IEmergency MedicineKYTBD
I20240520002554IEmergency MedicineIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30324)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961737317View full group profile
NameSpecialtyState
Nurse PractitionerIA
Emergency MedicineIA
Nurse PractitionerIA
Emergency MedicineIA
Emergency MedicineNY
Nurse PractitionerSD
Nurse PractitionerMO
Emergency MedicineFL
Nurse PractitionerIA
Nurse PractitionerIA

Reviews

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Frequently asked questions

Can I use this page to confirm GLENN BENARD MCKENNA (MD)'s NPI?
Yes. GLENN BENARD MCKENNA (MD) is listed with NPI 1609941251 in the public NPI dataset.
Does CMS list GLENN BENARD MCKENNA (MD) as active?
Yes — GLENN BENARD MCKENNA (MD) is active in the NPI listing used on this page.
What is GLENN BENARD MCKENNA (MD)'s specialty?
The listing groups GLENN BENARD MCKENNA (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does GLENN BENARD MCKENNA (MD) list a practice location?
Patients near Atlanta, Georgia may find GLENN BENARD MCKENNA (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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