Individual provider Active NPI

David Parks McKinley Sr., M.D.,

  • Occupational Medicine Clinic/Center
  • Sheffield, AL
National Provider Identifier
1043335151
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
5762 Issued in AL
Practice address
1300 S Montgomery Ave
Sheffield, AL 35660-6334
Phone
(256) 386-4433
Fax
(256) 386-4699
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 5762 AL
Occupational Medicine Clinic/Center 261QX0100X 5762 AL Primary

Addresses

Primary practice location

1300 S Montgomery Ave
Sheffield, AL 35660-6334

Mailing address

PO Box 11407
Dept#5839
Birmingham, AL 35246
Phone (256) 386-4066

Other identifiers 1

IdentifierTypeStateIssuer
529926920MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040809000975 AL Practitioner - General Surgery 5193797306 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5762ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NW Alabama Practice Management, LLC Single Specialty CurrentSince Mar 16, 2019 Accepting new patients
HH Health System - Shoals LLC Past Accepting new patients
Avalon Surgical,P.C. Single Specialty PastSince Jan 1, 1987 Accepting new patients
Heart Health Center PC Single Specialty Past Accepting new patients

Locations

1100 S Jackson Hwy
Ste 104
Sheffield, AL 35660
Phone (256) 381-0030

1100 S Jackson Hwy
Sheffield, AL 35660
Phone (256) 381-0030

1100 S Jackson Hwy
Ste 105
Sheffield, AL 35660
Phone (256) 386-4066

1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1043335151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "address_2": "DEPT#5839",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35246",
            "telephone_number": "256-386-4066",
            "fax_number": "256-386-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S MONTGOMERY AVE",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356606334",
            "telephone_number": "256-386-4433",
            "fax_number": "256-386-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "DAVID",
        "middle_name": "PARKS",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "5762",
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "AL",
            "license": "5762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529926920",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield, AL

Sources for this page

Verify at the official NPI Registry.