MCKENZIE LEE WEBSTER PA
NPI 1376233353
Physician Assistant - Surgical in Alpharetta, GA

Q: What is Mckenzie Webster's NPI number?

The NPI number for Mckenzie Webster is 1376233353. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Q: What is Mckenzie Webster's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Mckenzie Webster was last updated on October 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 11, 2023PECOS EnrolledAccepts Medicare Assignment

3905 BROOKSIDE PKWY STE 300, ALPHARETTA, GA 30022(770) 442-1911 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 8, 2025, May 11, 2023 (2 updates tracked since 2023).

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About Mckenzie Lee Webster Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCKENZIE LEE WEBSTER PA (NPI 1376233353) is an individual surgical provider in Alpharetta, Georgia, licensed in Georgia (12208) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1376233353

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMCKENZIE LEE WEBSTERCredential: PA

Location Address3905 BROOKSIDE PKWY STE 300Alpharetta, GA 30022-4458

Mailing Address145 New Bern St Apt 339Charlotte, NC 28209-4311 · (704) 604-5428

Phone(770) 442-1911

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMay 11, 2023

Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration

NPPES CertifiedOctober 8, 2025

✔ NPI 1376233353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in GA · 12208

3905 BROOKSIDE PKWY STE 300, Alpharetta, GA 30022

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mckenzie Lee Webster Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557707213

PECOS Enrollment IDI20240315003157

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SATISHKUMAR MUDDURANGANATH GANJAM MD

Family Medicine