Active NPI
Michael G Kingston, PA-C
- Medical Physician Assistant
- Brownwood, TX
National Provider Identifier
1174791610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA00272
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 78.51 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PA00272 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Hendrick Provider Network | Current | Accepting new patients | |
| Robert L. Hogue M.D. PA | Past | 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
- 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.
-
- Rural Health Clinic/Center
- San Saba, TX
- NPI 1346044401
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1073575585
-
- Family Medicine Physician
- Corsicana, TX
- NPI 1649232984
-
- Family Medicine Physician
- Brownwood, TX
- NPI 1942504253
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.