Maysville Family Practice, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

030637 Issued in GA

Legal business name

MAYSVILLE FAMILY PRACTICE, INC

Practice address

14 Homer Street
Maysville, GA 30558-1738

Phone

(706) 652-2252

Fax

(706) 652-3444

NPI assigned

Jun 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Ann Kinsey, OM

Title

Office Manager

Phone

(706) 652-2252

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Stephen Kinsey, MD

  • Family Medicine Physician
  • Maysville, GA
  • NPI 1346320363
  Medicare reassignment NPD

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366648644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 349",
            "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": "14 HOMER STREET",
            "city": "MAYSVILLE",
            "state": "GA",
            "postal_code": "305581738",
            "telephone_number": "706-652-2252",
            "fax_number": "706-652-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYSVILLE FAMILY PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KINSEY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-652-2252",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OM"
    },
    "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"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua F Gastley, NP-C
• Danielle Ginn
• Gary Stephen Kinsey, MD
• Brianna Lewallen, LPC
• Martin Medical Transport, LLC
• Maysville Pharmacy Inc
• Maysville Pharmacy, Inc.
• Paradise Living (Southern Pines Senior Living)
• Bree Whitlock

• Family Medicine Physician in Maysville, GA
• Providers in Maysville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.