IndividualActive
Kenneth Stallings, L..O.
NPI 1205900909 · Specialist · Blue Ridge, GA
Kenneth Stallings, L..O. is a Specialist provider in Blue Ridge, GA (NPI 1205900909).
Provider details
- NPI number
- 1205900909
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- L..O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 00013 (GA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5801 Blue Ridge Dr
Blue Ridge, GA 30513-3245
Phone: (706) 632-0384
Street-level locationGet directions
Mailing address
270 Gunite Cir
Ellijay, GA 30540-6453
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2013-02-15
Frequently asked questions
- What is Kenneth Stallings's NPI number?
- Kenneth Stallings's National Provider Identifier (NPI) is 1205900909, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Stallings's specialty?
- Kenneth Stallings is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Kenneth Stallings located?
- Kenneth Stallings's practice location on file with NPPES is 5801 Blue Ridge Dr, Blue Ridge, GA 30513-3245.
- What is Kenneth Stallings's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Stallings is (706) 632-0384.
- Is Kenneth Stallings's NPI active?
- Yes — Kenneth Stallings's NPI (1205900909) is active in the NPPES registry as of the last update on 2013-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.