STACEY W MCKENZIE MD
NPI 1699768101
Internal Medicine - Infectious Disease in Johnson City, TN

Q: What is Stacey Mckenzie's NPI number?

The NPI number for Stacey Mckenzie is 1699768101. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Q: What is Stacey Mckenzie's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Mckenzie was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 30, 2005

2151 CENTURY LN, JOHNSON CITY, TN 37604(423) 926-2500(423) 926-5999 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stacey W Mckenzie Md NPPES

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

STACEY W MCKENZIE MD (NPI 1699768101) is an individual infectious disease provider in Johnson City, Tennessee, licensed in Tennessee (18756) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1699768101

Entity TypeIndividualFemale

Primary Taxonomy207RI0200X

Provider Legal NameSTACEY W MCKENZIECredential: MD

Location Address2151 CENTURY LNJohnson City, TN 37604-4469

Mailing AddressPo Box 70403, 365 Stout DriveJohnson City, TN 37614-1703 · (423) 439-4515 · Fax (423) 439-5780

Phone(423) 926-2500

Fax(423) 926-5999

Sole ProprietorNo

Enumeration DateAugust 30, 2005

Last NPPES UpdateMay 3, 2017

✔ NPI 1699768101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in TN · 18756

Definition

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.

2151 CENTURY LN, Johnson City, TN 37604

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Other Identifiers 2

MedicaidQ010241TN

Medicare PIN1031I15209TN

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.

MS. REBECCA ELLEN FLORA-WATERMAN APRN, FNP

Nurse Practitioner (Primary Care)