Individual provider Active NPI

Kimberly Jane McKay, M.D.

  • Family Medicine Physician
  • Morton, MS
National Provider Identifier
1386844066
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20926 Issued in MS
Practice address
317 Highway 13 S
Morton, MS 39117-3353
Phone
(601) 732-6301
Fax
(601) 732-1062
NPI assigned
Jul 20, 2007
Last updated
May 4, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T-1938 MS
Family Medicine Physician 207Q00000X 20926 MS Primary

Addresses

Primary practice location

317 Highway 13 S
Morton, MS 39117-3353

Mailing address

PO Box 2065
Meridian, MS 39302-2065
Phone (601) 703-4282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100817000217 MS Practitioner - General SurgeryPractitioner - Family Practice 4284768920 Reassigns benefits to 4 organizations
I20190916002537 LA Practitioner - Emergency Medicine 4284768920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Mississippi School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Emergency Services Inc.Group PAC ID 5799697272, 35 clinicians
Leake Emergency Group, LLCGroup PAC ID 4486985256, 15 clinicians

Practice addresses (Care Compare)

100 Hospital St
Booneville, MS 38829-3354
Phone (662) 720-5000

1100 Hwy 16 E
Carthage, MS 39051-4222
Phone (601) 267-1100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-1938MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Noxubee General Critical Access Hospital CurrentSince Feb 4, 2018 Accepting new patients
Keystone Medical Services of Ms, Inc CurrentSince Feb 1, 2018 Accepting new patients
United Emergency Services, Inc. CurrentSince Dec 13, 2020 Accepting new patients
Noxubee General Critical Access Hospital CurrentSince Feb 4, 2018 Accepting new patients
Island Medical Winnsboro LLC CurrentSince Jul 1, 2019 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Sep 16, 2019 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Sep 16, 2019 Accepting new patients
Leake Emergency Group, LLC CurrentSince Dec 24, 2023 Accepting new patients

Locations

2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

100 Hospital St
Booneville, MS 38829
Phone (662) 720-5000

1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

78 Hospital Rd
Macon, MS 39341
Phone (662) 726-4231

1102 Rose St
Prentiss, MS 39474
Phone (601) 792-2947

100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455

Organizations & group practices 8

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1386844066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2065",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393022065",
            "telephone_number": "601-703-4282",
            "fax_number": "601-703-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 HIGHWAY 13 S",
            "city": "MORTON",
            "state": "MS",
            "postal_code": "391173353",
            "telephone_number": "601-732-6301",
            "fax_number": "601-732-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "KIMBERLY",
        "middle_name": "JANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "T-1938",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "20926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton, MS

Sources for this page

Verify at the official NPI Registry.