Individual provider Active NPI

Antonina Zaire McKay, DC

  • Chiropractor
  • Newnan, GA
National Provider Identifier
1326180720
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006408 Issued in GA
Practice address
2753 Highway 34 E
Suite 1
Newnan, GA 30265-2145
Phone
(770) 252-3661
Fax
(770) 252-9598
NPI assigned
Feb 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006408 GA Primary

Addresses

Primary practice location

2753 Highway 34 E
Suite 1
Newnan, GA 30265-2145

Mailing address

2753 Highway 34 E
Suite 1
Newnan, GA 30265-2145
Phone (770) 252-3661

Other identifiers 2

IdentifierTypeStateIssuer
811896OtherGABLUE CROSS BLUE SHIELD
44-00061OtherGAUNITEDHEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051020000004 GA Practitioner - Chiropractic 6305862269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Lincoln Chiropractic College, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2753 Hwy 34 E
Suite 1
Newnan, GA 30265-2316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR006405GAMDChiropractor
006405GAMDPhysical Therapist
006408GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Life Chiropractic Inc Chiropractor CurrentSince Jul 30, 1999 Accepting new patients

Locations

2753 Highway 34 E
Ste 1
Newnan, GA 30265
Phone (770) 252-3661

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326180720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 HIGHWAY 34 E",
            "address_2": "SUITE 1",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652145",
            "telephone_number": "770-252-3661",
            "fax_number": "770-252-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 HIGHWAY 34 E",
            "address_2": "SUITE 1",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652145",
            "telephone_number": "770-252-3661",
            "fax_number": "770-252-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "ANTONINA",
        "middle_name": "ZAIRE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "006408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "811896",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTH CARE",
            "identifier": "44-00061",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.