Individual provider Active NPI

Michael G Kingston, PA-C

  • Medical Physician Assistant
  • Brownwood, TX
National Provider Identifier
1174791610
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00272 Issued in TX
Practice address
101 S Park Dr Ste a
Brownwood, TX 76801-5959
Phone
(325) 646-6568
Fax
(325) 646-9199
NPI assigned
Feb 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA00272 TX Primary

Addresses

Primary practice location

101 S Park Dr Ste a
Brownwood, TX 76801-5959

Mailing address

109 S Park Dr
Brownwood, TX 76801-5917
Phone (325) 646-6568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00272TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Dec 1, 2012 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Dec 1, 2012 Accepting new patients
Hendrick Provider Network CurrentSince Jun 1, 2021 Accepting new patients
Robert L. Hogue M.D. PA PastSince Jun 11, 2011 Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

300 E Commerce St
Brownwood, TX 76801
Phone (325) 510-3400

109 S Park Dr
Brownwood, TX 76801
Phone (325) 643-3300

Interoperability endpoints

  • Direct secure messaging: mkingsto@yourcarecommunity.org

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": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1174791610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S PARK DR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015917",
            "telephone_number": "325-646-6568",
            "fax_number": "325-646-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S PARK DR STE A",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015959",
            "telephone_number": "325-646-6568",
            "fax_number": "325-646-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSTON",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-19",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA00272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.