Active NPI
Elizabeth Jane McKinley, FNP-C
- Family Nurse Practitioner
- Jasper, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN216310
- Practice address
- 220 J L White Dr Ste 110
Jasper, GA 30143-4894 - Phone
- (706) 299-2200
- NPI assigned
- Jul 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN216310 | GA | Primary |
Addresses
Primary practice location
220 J L White Dr Ste 110
Jasper, GA 30143-4894
Mailing address
717 Argonne Ave NE Apt 4
Atlanta, GA 30308-2074
Phone (678) 603-3512
Other practice location 1
122 Grand Oaks Dr
Canton, GA 30115-7164
Phone (678) 603-3512
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
220 J L White Dr
Suite 110
Jasper, GA 30143-4894
Phone (706) 299-2200
Hospital & facility affiliations
- Piedmont Hospital, Inc
- Piedmont Mountainside Hospital Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Medical Care Corporation | Current | Accepting new patients |
Locations
105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860
220 J L White Dr
Ste 110
Jasper, GA 30143
Phone (706) 253-3842
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
-
- General Acute Care Hospital
- Jasper, GA
- NPI 1780643411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594598400000",
"number": "1376928770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 ARGONNE AVE NE APT 4",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082074",
"telephone_number": "678-603-3512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 J L WHITE DR STE 110",
"city": "JASPER",
"state": "GA",
"postal_code": "301434894",
"telephone_number": "706-299-2200"
}
],
"practiceLocations": [
{
"address_1": "122 Grand Oaks Dr",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "GA",
"postal_code": "301157164",
"country_code": "US",
"telephone_number": "678-603-3512",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKINLEY",
"first_name": "ELIZABETH",
"middle_name": "JANE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-27",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN216310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.