NPIMap

Individual provider Active NPI

Justin Leigh McKinney, DO

  • Plastic and Reconstructive Surgery Physician
  • Charleston, WV
National Provider Identifier
1124339858
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
3424 Issued in WV
Practice address
210 Brooks St Ste 200
Charleston, WV 25301
Phone
(304) 388-1930
Fax
(304) 388-1929
NPI assigned
Jun 28, 2010
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25454 MS
Plastic Surgery Physician 208200000X 3424 WV
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 3424 WV
Surgery of the Hand (Surgery) Physician 2086S0105X 25454 MS
Plastic and Reconstructive Surgery Physician 2086S0122X 25454 MS
Plastic and Reconstructive Surgery Physician 2086S0122X 3424 WV Primary

Addresses

Primary practice location

210 Brooks St Ste 200
Charleston, WV 25301

Mailing address

210 Brooks St Ste 200
Charleston, WV 25301-1848
Phone (304) 388-1930

Other practice location 1

160 Fountains Blvd Ste B
Madison, MS 39110-6380
Phone (601) 981-2525 ext. 600

Other practice location 2

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

Other practice location 3

3200 MacCorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432

Other practice location 4

1201 Washington St E
Charleston, WV 25301-1834
Phone (304) 388-1800

Other practice location 5

550 Centre St
Nutley, NJ 07110-2259
Phone (516) 982-2324

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmckinney@directaddress.net Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190731000138 WV Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 6901140771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

210 Brooks St
Suite 200
Charleston, WV 25301-1848
Phone (304) 388-1930

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25454MSMDPlastic and Reconstructive Surgery Physician
3424WVMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Aug 1, 2019 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

210 Brooks St
Ste 200
Charleston, WV 25301
Phone (304) 388-1930

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

Interoperability endpoints

  • Direct secure messaging: jmckinney@directaddress.net

Organizations & group practices 3

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 11

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": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1124339858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BROOKS ST STE 200",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011848",
            "telephone_number": "304-388-1930",
            "fax_number": "304-388-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BROOKS ST STE 200",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25301",
            "telephone_number": "304-388-1930",
            "fax_number": "304-388-1929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Fountains Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391106380",
            "country_code": "US",
            "telephone_number": "601-981-2525 x600",
            "fax_number": "601-981-3152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Morris St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011326",
            "country_code": "US",
            "telephone_number": "304-388-5432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041227",
            "country_code": "US",
            "telephone_number": "304-388-5432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Washington St E",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011834",
            "country_code": "US",
            "telephone_number": "304-388-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Centre St",
            "address_purpose": "LOCATION",
            "city": "Nutley",
            "state": "NJ",
            "postal_code": "071102259",
            "country_code": "US",
            "telephone_number": "516-982-2324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "JUSTIN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MS",
            "license": "25454",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WV",
            "license": "3424",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "WV",
            "license": "3424",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "MS",
            "license": "25454",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MS",
            "license": "25454",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "WV",
            "license": "3424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmckinney@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HML",
            "address_1": "160 Fountains Blvd Ste B",
            "city": "Madison",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391106380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.