Individual provider Active NPI

Gary Stephen Kinsey, MD

  • Family Medicine Physician
  • Maysville, GA
National Provider Identifier
1346320363
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
030637 Issued in GA
Practice address
4 N Main St
Maysville, GA 30558-1702
Phone
(706) 652-2252
Fax
(706) 652-3444
NPI assigned
Oct 16, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 030637 GA Primary

Addresses

Primary practice location

4 N Main St
Maysville, GA 30558-1702

Mailing address

PO Box 349
4 North Main Street
Maysville, GA 30558-0349
Phone (706) 652-2252

Other identifiers 3

IdentifierTypeStateIssuer
1346320363OtherGANPI
52238OtherBCBS
000367276AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20111212000246 GA Practitioner - Family Practice 6305923186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flint Family Healthcare IncGroup PAC ID 0345779708, 2 clinicians

Practice addresses (Care Compare)

14 Homer St
Maysville, GA 30558-1738
Phone (706) 652-2252

4 N Main St
Maysville, GA 30558-1702
Phone (706) 652-2252

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
030637GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flint Family Healthcare Inc Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Maysville Family Practice, Inc Family Medicine CurrentSince Apr 7, 1988 Accepting new patients

Locations

4 N Main St
Maysville, GA 30558
Phone (706) 652-2252

Organizations & group practices 2

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 2

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1346320363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 349",
            "address_2": "4 NORTH MAIN STREET",
            "city": "MAYSVILLE",
            "state": "GA",
            "postal_code": "305580349",
            "telephone_number": "706-652-2252",
            "fax_number": "706-652-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 N MAIN ST",
            "city": "MAYSVILLE",
            "state": "GA",
            "postal_code": "305581702",
            "telephone_number": "706-652-2252",
            "fax_number": "706-652-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSEY",
        "first_name": "GARY",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "030637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346320363",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52238",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000367276A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, GA

Sources for this page

Verify at the official NPI Registry.