Individual provider Active NPI

Paul Scott McGinnis, M.D.

  • Psychiatry Physician
  • West Des Moinse, IA
National Provider Identifier
1083632269
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
15251 Issued in MS
Practice address
1501 42ND Street Ste 575
West Des Moinse, IA 50266-0001
Phone
(601) 824-0342
Fax
(601) 824-0349
NPI assigned
Jul 17, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 15251 MS Primary

Addresses

Primary practice location

1501 42ND Street Ste 575
West Des Moinse, IA 50266-0001

Mailing address

8 Cadillac Drive
Suite 230
Brentwood, TN 37027-3038
Phone (552) 703-6258

Other identifiers 1

IdentifierTypeStateIssuer
00124665MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KS, OH, IA, IN5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20170712002585 TN Practitioner - Psychiatry 9436166618 Reassigns benefits to 1 organization
I20220705002115 KS Practitioner - Psychiatry 9436166618 Reassigns benefits to 1 organization
I20220716000199 OH Practitioner - Psychiatry 9436166618 Reassigns benefits to 1 organization
I20230313002284 IA Practitioner - Psychiatry 9436166618 Reassigns benefits to 1 organization
I20231004003775 IN Practitioner - Psychiatry 9436166618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Mississippi School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evizzit of Iowa Psychiatry PCGroup PAC ID 2860825924, 52 clinicians

Practice addresses (Care Compare)

100 Dawn LN
Waverly, OH 45690-9138
Phone (855) 270-3625

1110 Columbine Dr
Holton, KS 66436-8824
Phone (785) 364-2116

1501 42ND St
Suite 575
West Des Moines, IA 50266-1060
Phone (855) 270-3625

511 NE 10TH St
Abilene, KS 67410-2153
Phone (855) 270-3625

617 Liberty St
Clay Center, KS 67432-1564
Phone (785) 632-2144

720 N Lincoln St
Decatur County Memorial Hospital
Greensburg, IN 47240-1327
Phone (812) 663-4331

750 W D Ave
Kingman Healthcare Center
Kingman, KS 67068-1266
Phone (620) 532-0199

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evizzit of Iowa Psychiatry PC Psychiatry CurrentSince May 30, 2022 Accepting new patients
Evizzit of Iowa Psychiatry PC PastSince Dec 26, 2021 Accepting new patients

Locations

1501 42nd St
Ste 120
West Des Moines, IA 50266

1501 42nd St
Ste 575
West Des Moines, IA 50266
Phone 8552703625171

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

511 NE 10th St
Abilene, KS 67410
Phone (785) 263-2100

617 Liberty St
Clay Center, KS 67432
Phone (785) 632-2144

100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186

8 Cadillac Dr
Ste 230
Brentwood, TN 37027
Phone (615) 647-0750

500 Church St
Hartsville, TN 37074
Phone (615) 374-2221

Interoperability endpoints

  • Direct secure messaging: pmcginnis4253237@direct.trinity-health.org

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1083632269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CADILLAC DRIVE",
            "address_2": "SUITE 230",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273038",
            "telephone_number": "552-703-6258",
            "fax_number": "561-461-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 42ND STREET STE 575",
            "city": "WEST DES MOINSE",
            "state": "IA",
            "postal_code": "502660001",
            "telephone_number": "601-824-0342",
            "fax_number": "601-824-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "PAUL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "15251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124665",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.