KENNY M FRONTIN (MD) – Internal Medicine Physician, NPI 1740280627

KENNY M FRONTIN (MD) is a healthcare provider. based in Jonesboro, Georgia. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 035417 (GA). The NPI Number for KENNY M FRONTIN (MD) is 1740280627

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
KENNY M FRONTIN (MD)
NPI
1740280627
Phone
(770) 603-3822
Address
2470 MOUNT ZION PARKWAY
Enumeration Date
21 July 2005
Last Update Date
13 January 2022

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7706033685
Graduation Year
1987 (39 years ago)
PAC ID
4385749340
Group Practice PAC ID
6204829013
Professional Enrollment ID
I20070419000314

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for KENNY M FRONTIN (MD)

  • 2470 MOUNT ZION PARKWAY

    DEPARTMENT OF GASTROENTEROLOGY

    JONESBORO, GA 30236

    Phone: (770) 603-3822

    Type: Location

  • 3495, Piedmont Road Northeast, Buckhead, Atlanta, Georgia, 30305, United States

    NINE PIEDMONT CENTER

    ATLANTA, GA 303051717

    Phone: (404) 364-7000

    Fax: (404) 364-4732

    Type: Mailing

  • 2470 MOUNT ZION PKWY

    DEPARTMENT OF GASTROENTEROLOGY

    JONESBORO, GA 302362500

    Phone: (770) 603-3822

    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: 2007-04-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20070419000314IGastroenterologyGATBD

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 30236)

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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: 6204829013View full group profile

Reviews

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Frequently asked questions

What identifier follows KENNY M FRONTIN (MD) across health systems?
The NPI 1740280627 uniquely identifies KENNY M FRONTIN (MD) in U.S. healthcare data.
Is KENNY M FRONTIN (MD)'s NPI status active today?
Active status means KENNY M FRONTIN (MD)'s NPI record is not deactivated in the public file.
What type of care does KENNY M FRONTIN (MD) provide?
KENNY M FRONTIN (MD)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to KENNY M FRONTIN (MD)?
KENNY M FRONTIN (MD) shows a connection to Jonesboro, Georgia in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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