Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth L Boss, MD

Individual provider Family Medicine Physician · NPI 1104891472

Dr. Kenneth L Boss, MD is a Family Practice in Carrollton, Georgia. Graduated from Medical College of Georgia School of Medicine in 1999, 27 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
27
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

820 Maple St
Carrollton, GA 30117-3626
Phone: (678) 390-7915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1009 Alabama Ave S, Bremen, GA 30110-2501 — (678) 821-6400
  • 705 Dallas Hwy, Villa Rica, GA 30180-1247 — (770) 456-4411

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 052425 (GA)

Record details

NPI number1104891472
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 21, 2006
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Wellstreet Of Georgia Pc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Carrollton