NPI age
6 years
Enumerated 2019-10-24
● Active
Type 1 · Individual
Manuel Carl McKenzie III
McKenzie is 1 of 7 custodial care facility providers in Stone Mountain and 1 of 176 in Georgia.
Primary specialty
Custodial Care Facility
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2019-10-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 176 active custodial care facility providers in Georgia.
NPI age
6 years
↓ 3 yr below median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-10Enumerated in NPPES
2019
2026
Where they practice
Practice location
4893 Candlewood Ln
Stone Mountain, GA 300881605
Mailing address
4893 Candlewood Ln
Stone Mountain, GA 300881605
Specialties
-
Custodial Care Facility PrimaryA custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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