MCKINNEY MEDICAL CENTER INC (NPI# 1871756049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871756049 |
| Entity Type | Organization |
| Organization Name | MCKINNEY MEDICAL CENTER INC |
| Other Organization Name | MCKINNEY COMMUNITY HEALTH CENTER |
| Practice Address |
9355 South Main Street Nahunta GA 31553-9806 |
| Mailing Address |
218 Quarterman St Waycross GA 31501-3547 |
| Practice Telephone | 9124626222 |
| Practice Fax Number | 9122870687 |
| Mailing Telephone | 9122870301 |
| Mailing Fax Number | 9122870687 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2019-06-05 |
| Authorized Official Name | OLA SMITH (CEO) |
| Authorized Official Telephone | 9122870301 |
| Is Organization Subpart | Y |
| Parent Organization Name | MCKINNEY MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000715415B | 05 | |
| AMERIGROUP | 10066125 | 01 | |
| GA | WELLCARE | 336244 | 01 |
| Other Name | Type Code |
|---|---|
| Mckinney Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578822433 | Mckinney Medical Center Inc | Clinic/Center | 935 Mcdonald St, Waycross, GA 31501-4651 | 2012-05-14 |
| 1801057690 | Mckinney Medical Center Inc | Clinic/Center | 3919 Main St, Folkston, GA 31537-7545 | 2008-06-24 |
| 1487665733 | Mckinney Medical Center Inc | Clinic/Center | 218 Quarterman St, Waycross, GA 31501 | 2006-08-11 |
| 1821476193 | Mckinney Medical Center Inc | Clinic/Center | 711 Charles Gilman Jr Ave Ste B, Kingsland, GA 31548-5664 | 2015-05-07 |
| 1134454911 | Mckinney Medical Center Inc | Clinic/Center | 501 N Pierce St, Alma, GA 31510-2445 | 2009-10-12 |
| Street Address |
9355 SOUTH MAIN STREET |
| City | NAHUNTA |
| State | GA |
| Zip Code | 31553-9806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003393562 | Sidney Gina Hulett | Case Manager/Care Coordinator | 13431 Cleveland Street, Nahunta, GA 31553 | 2018-07-26 |
| 1013041615 | Brantley County Ems | Ambulance | 1366 Broome Street, Nahunta, GA 31553 | 2007-03-15 |
| 1912043290 | Unison Behavioral Health | Community/Behavioral Health | 9052 Main Street, Nahunta, GA 31553 | 2007-01-30 |
| 1265457717 | Tannis Alligood | Family Medicine | 71 Johnson Street, Nahunta, GA 31553 | 2006-07-13 |
| 1285668848 | Mark Alan Mcgregor | Pharmacist | 118c Main Street, Nahunta, GA 31553 | 2006-07-10 |
| 1235291642 | Mark's Discount Drugs | Pharmacy | 118c Main Street, Nahunta, GA 31553 | 2006-12-14 |
| 1790808608 | Matthew D. O Berry | Chiropractor | 143 W. Cleveland St., Nahunta, GA 31553-1002 | 2007-04-06 |
| 1053300566 | Bayview Nursing Home, LLC | Skilled Nursing Facility | 12884 Cleveland St W, Nahunta, GA 31553-2834 | 2005-10-18 |
| 1255316899 | Denise B. Bennett | Pharmacist | 13202 Cleveland St W Ste 100, Nahunta, GA 31553-2842 | 2005-12-07 |
| 1902963648 | Bennett's Hometown Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 13202 Cleveland St W Ste 100, Nahunta, GA 31553-2842 | 2007-01-02 |
| Find all providers in zip 31553 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395620 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 8a Probasco Street Unit 214, Lafayette, GA 30728 | 2020-10-30 |
| 1366066243 | Health Education Assessment and Leadership Inc | Clinic/Center | 225 Griffin St Nw, Atlanta, GA 30314-3917 | 2020-06-05 |
| 1851924377 | Valley Healthcare System | Clinic/Center | 1458 Benning Dr, Columbus, GA 31903-2200 | 2020-02-13 |
| 1952941528 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 400 E Broad St, Savannah, GA 31401-5104 | 2020-01-13 |
| 1023658523 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1407 Cobb Parkway Nw, Marietta, GA 30060-6546 | 2020-01-13 |
| 1467092221 | Careconnect Health, Inc. | Clinic/Center | 130 N Lee St, Forsyth, GA 31029-2122 | 2020-01-09 |
| 1417597238 | The Family Health Centers of Georgia, Inc | Clinic/Center | 19 John Maddox Dr Nw Ste B, Rome, GA 30165-1477 | 2020-01-09 |
| 1649810714 | Careconnect Health, Inc. | Clinic/Center | 254 Wright Avenue, Roberta, GA 31078 | 2020-01-07 |
| 1437798725 | Careconnect Health, Inc. | Clinic/Center | 414 S Frontage Rd Lot 53, Forsyth, GA 31029-3025 | 2020-01-03 |
| 1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MCKINNEY MEDICAL CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.