Individual provider Active NPI

Ebony McKinnies, M,D,

  • Neurology Physician
  • Thibodaux, LA
National Provider Identifier
1225411002
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
324523 Issued in LA
Practice address
726 N Acadia Rd Ste 2300
Thibodaux, LA 70301-5078
Phone
(985) 493-3090
NPI assigned
Jun 30, 2015
Last updated
Oct 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 324523 LA Primary

Addresses

Primary practice location

726 N Acadia Rd Ste 2300
Thibodaux, LA 70301-5078

Mailing address

PO Box 5478
Thibodaux, LA 70302-5478
Phone (985) 493-4544

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201028000683 LA Practitioner - Neurology 3072923325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Louisiana State University School of Medicine in New Orleans, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

726 N Acadia Rd
Suite 2300
Thibodaux, LA 70301-5078
Phone (985) 493-3090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.55 of 100Reported as group
Quality
67.62
Promoting interoperability
100
Improvement activities
40
Cost
71.34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodaux Regional Network Development Corporation Neurology CurrentSince Oct 15, 2020 Accepting new patients
Thibodaux Regional Network Development Corporation Current Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince Oct 15, 2020 Accepting new patients
Thibodaux Regional Network Development Corporation Past Accepting new patients

Locations

1238 Saint Charles St
Houma, LA 70360
Phone (985) 872-9430

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

726 N Acadia Rd
Ste 2300
Thibodaux, LA 70301
Phone (985) 493-3090

Interoperability endpoints

  • Direct secure messaging: ebony.mckinnies@direct.thibodaux.la-hie.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1225411002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5478",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703025478",
            "telephone_number": "985-493-4544",
            "fax_number": "985-449-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N ACADIA RD STE 2300",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015078",
            "telephone_number": "985-493-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNIES",
        "first_name": "EBONY",
        "credential": "M,D,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "324523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.