Individual provider Active NPI

Kane Andrew McCool, FNP-C

  • Nurse Practitioner
  • Starkville, MS
National Provider Identifier
1124624895
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
903981 Issued in MS
Practice address
1207 Highway 182 W
Starkville, MS 39759-9013
Phone
(662) 320-7800
Fax
(662) 269-6346
NPI assigned
Dec 8, 2020
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903981 MS
Nurse Practitioner 363L00000X 903981 MS Primary

Addresses

Primary practice location

1207 Highway 182 W
Starkville, MS 39759-9013

Mailing address

874 Barnes Crossing Road
Tupelo, MS 38804-0909
Phone (662) 320-7800

Other practice location 1

874 Barnes Crossing Road
Tupelo, MS 38804-0909
Phone (662) 810-0002

Other practice location 2

407 Interchange Drive
Fulton, MS 38843-6029
Phone (662) 841-0002

Other practice location 3

180 Park Plaza Drive
New Albany, MS 38652-3127
Phone (662) 222-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210430001131 MS Practitioner - Nurse Practitioner 3577972660 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clay County Medical CorporationGroup PAC ID 4789649609, 36 clinicians

Practice addresses (Care Compare)

100 Wilburn Way
Suite a
Starkville, MS 39759-3692
Phone (662) 498-1400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
903981MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medplus New Albany LLC Nurse Practitioner CurrentSince Mar 20, 2024 Accepting new patients
Clay County Medical Corporation CurrentSince Nov 1, 2024 Accepting new patients
Clay County Medical Corporation CurrentSince Nov 1, 2024 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Clay County Medical Corporation Current Accepting new patients
Clay County Medical Corporation Current Accepting new patients
Medplus Urgent Clinic LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Clay County Medical Corporation Past Accepting new patients

Locations

70 Medical Plz
Eupora, MS 39744
Phone (662) 258-6221

180 Park Plaza Dr
New Albany, MS 38652
Phone (662) 222-2273

100 Wilburn Way
Ste A
Starkville, MS 39759
Phone (662) 498-1400

1207 Highway 182 W
Starkville, MS 39759
Phone (662) 320-7800

874 Barnes Crossing Rd
Tupelo, MS 38804
Phone (662) 841-0002

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBJABD
  • Direct secure messaging: kanemccool@nmhs.medalliesdirect.net

Organizations & group practices 8

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 4

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": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1124624895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 BARNES CROSSING ROAD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388040909",
            "telephone_number": "662-320-7800",
            "fax_number": "662-269-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 HIGHWAY 182 W",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397599013",
            "telephone_number": "662-320-7800",
            "fax_number": "662-269-6346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "874 Barnes Crossing Road",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388040909",
            "country_code": "US",
            "telephone_number": "662-810-0002",
            "fax_number": "662-269-6346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 Interchange Drive",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "MS",
            "postal_code": "388436029",
            "country_code": "US",
            "telephone_number": "662-841-0002",
            "fax_number": "662-269-6346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Park Plaza Drive",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523127",
            "country_code": "US",
            "telephone_number": "662-222-2273",
            "fax_number": "662-269-6346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOOL",
        "first_name": "KANE",
        "middle_name": "ANDREW",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-08",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903981",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "903981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.