NPIMap

Individual provider Active NPI

James D McKinney, MD

  • Orthopaedic Surgery Physician
  • Cookeville, TN
National Provider Identifier
1194712919
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD023531 Issued in TN
Practice address
105 S Willow Ave
Cookeville, TN 38501-3138
Phone
(931) 526-9518
Fax
(931) 372-0087
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 28

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.

View all 28

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Alabama School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campbell Clinic, PC 229 clinicians

Practice addresses (Care Compare)

105 S Willow Ave
Cookeville, TN 38501-4667
Phone (931) 526-9518

Merit-based Incentive Payment System (MIPS)

Final score
75.09 of 100Reported as group
Quality
50.47
Promoting interoperability
99
Improvement activities
40
Cost
67.33

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20110103000578 TN Practitioner - Orthopedic Surgery 6507846748 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Livingston LLC Orthopaedic Surgery CurrentSince Dec 1, 2014 Accepting new patients
Amg - Livingston, LLC CurrentSince Dec 1, 2014 Accepting new patients
Campbell Clinic, PC Orthopaedic Surgery Current Accepting new patients
Titan Orthopedics of Memphis, PLLC Orthopaedic Surgery CurrentSince Aug 1, 2022 Accepting new patients
Campbell Clinic PC CurrentSince Aug 1, 2022 Accepting new patients
White County Physician Services Inc Past Accepting new patients

Locations

105 S Willow Ave
Ste 100
Cookeville, TN 38501
Phone (931) 267-4929

105 S Willow Ave
Cookeville, TN 38501
Phone (931) 372-7716

35 Taylor Ave
Crossville, TN 38555
Phone (865) 483-8478

310 Oak St
#B
Livingston, TN 38570
Phone (931) 403-5175

1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJCECD/Endpoint/CJCECD
  • FHIR API: https://api.platform.athenahealth.com/14704/brand/1/csg/1/fhir/r4

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD023531 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

105 S Willow Ave
Cookeville, TN 38501-3138

Mailing address

105 S Willow Ave
Cookeville, TN 38501-3138
Phone (931) 526-9518

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
64912348MedicaidKY
3067589MedicaidTN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 14, 2012.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1194712919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S WILLOW AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013138",
            "telephone_number": "931-526-9518",
            "fax_number": "931-372-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S WILLOW AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013138",
            "telephone_number": "931-526-9518",
            "fax_number": "931-372-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "JAMES",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "MD023531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64912348",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3067589",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.