Kaitlin Marie McNamara, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04979 Issued in KY

Practice address

222 W 18TH St
Hopkinsville, KY 42240-1963

Phone

(270) 886-4625

Fax

(270) 886-6619

NPI assigned

Mar 8, 2018

Last updated

Jul 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kaitlin Marie Farris Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA, AR2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Webster Emergency Group LLCGroup PAC ID 2961448170, 16 clinicians

South Central Physicians PLLCGroup PAC ID 6507195492, 41 clinicians

Hospital Care Consultants of Fordyce LLCGroup PAC ID 5395024475, 9 clinicians

Northern Louisiana Emergency Physicians, LLPGroup PAC ID 9638246846, 28 clinicians

Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dallas County Medical Center Hospital, Fordyce, AR, CCN 041317
• Springhill Medical Center Hospital, Springhill, LA, CCN 190088
• Jackson Parish Hospital Hospital, Jonesboro, LA, CCN 191317
• Minden Medical Center Hospital, Minden, LA, CCN 190144

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaitlin-mcnamara@sampsonrps.e-mdsdirect.com

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

• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610

  LA

  Medicare reassignment Care Compare group NPD
• Hospital Care Consultants of Fordyce LLC

  • Hospitalist Physician
  • Fordyce, AR
  • NPI 1316497464
  Medicare reassignment Care Compare group NPD
• Northern Louisiana Emergency Physicians, LLP

  dba Northern Louisiana Physicians LLP

  • Emergency Medicine Physician
  • Ruston, LA
  • NPI 1588828172
  Medicare reassignment Care Compare group NPD
• South Central Physicians PLLC

  • Hospitalist Physician
  • Lubbock, TX
  • NPI 1427611854

  LA

  Medicare reassignment Care Compare group NPD
• Webster Emergency Group LLC

  • Emergency Medicine Physician
  • Minden, LA
  • NPI 1245209527
  Medicare reassignment Care Compare group
• Board of Governors of Dallas County Medical Center

  dba Dallas County Medical Center ER Physicians Group

  • Emergency Medical Services (Emergency Medicine) Physician
  • Fordyce, AR
  • NPI 1043308935
  Medicare reassignment NPD
• Board of Governors of Dallas County Medical Center

  dba Dallas County Medical Center

  • Critical Access Hospital
  • Fordyce, AR
  • NPI 1306826029
  Medicare reassignment NPD
• Ess of Fordyce LLC

  • Emergency Medicine Physician
  • Fordyce, AR
  • NPI 1821547977
  Medicare reassignment NPD
• Mercy Clinic Fort Smith Communities

  • Multi-Specialty Clinic/Center
  • Fort Smith, AR
  • NPI 1902073620
  Medicare reassignment NPD
• Mercy Hospital Booneville

  • Certified Registered Nurse Anesthetist
  • Booneville, AR
  • NPI 1083004733
  Medicare reassignment NPD
• Mercy Hospital Booneville

  • Critical Access Hospital
  • Booneville, AR
  • NPI 1992133714
  Medicare reassignment NPD
• Mercy Hospital Ozark

  • Critical Access Hospital
  • Ozark, AR
  • NPI 1275504128
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Board of Governors of Dallas County Medical Center

  dba Dallas County Medical Center

  • Critical Access Hospital
  • Fordyce, AR
  • NPI 1306826029
  Care Compare affiliation
• CLHG - Minden, LLC

  dba Minden Medical Center

  • Rural Acute Care Hospital
  • Minden, LA
  • NPI 1891873337
  Care Compare affiliation
• Jackson Parish Hospital

  • Critical Access Hospital
  • Jonesboro, LA
  • NPI 1093793408
  Care Compare affiliation
• Springhill Medical Services, Inc.

  dba Springhill Medical Center

  • General Acute Care Hospital
  • Springhill, LA
  • NPI 1275506115
  Care Compare affiliation
• Springhill Medical Services, Inc.

  dba Muddy Bottoms Clinic

  • Primary Care Clinic/Center
  • Sarepta, LA
  • NPI 1699191999

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1063915734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W 18TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 18TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401963",
            "telephone_number": "270-886-4625",
            "fax_number": "270-886-6619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 Beaman St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NC",
            "postal_code": "283282603",
            "country_code": "US",
            "telephone_number": "910-596-5421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "KAITLIN",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "04979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaitlin-mcnamara@sampsonrps.e-mdsdirect.com",
            "affiliation": "Y",
            "affiliationName": "Sampson Regional Professional Services LLC.",
            "address_1": "607 Beaman St",
            "city": "Clinton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283282603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "FARRIS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gabrielle Kennedy McKeever, LMFT
• Brittney McKendrick, APRN
• Greta McKenzie
• Yvette McMillan
• James Norman McNamara, D.O., PH.D.
• Jaquisha McNeal
• Sara Morgan Meacham, NP
• Thaddious J Meardry Brown, LPCA
• Jennifer Medeiros, CSW
• Mid-South Nursing Homes, Inc (Pinecrest Manor)

• Family Medicine Physician in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.