Healthcare Provider Details

I. General information

NPI: 1417805086
Provider Name (Legal Business Name): MCKENZIE MEDICAL CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2051 US HIGHWAY 45 BYP S
TRENTON TN
38382-2940
US

IV. Provider business mailing address

205A HOSPITAL DR
MC KENZIE TN
38201-2024
US

V. Phone/Fax

Practice location:
  • Phone: 731-352-7907
  • Fax: 833-690-3848
Mailing address:
  • Phone: 731-352-7907
  • Fax: 833-690-3848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MEGAN N DREWERY
Title or Position: CREDENTIALING MANAGER
Credential: CRHCP, RH-CBS
Phone: 865-224-7172