Jesse McKinnon, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN204966 Issued in GA

Practice address

80 Huxford St
Homerville, GA 31634-2356

Phone

(229) 561-5592

NPI assigned

Mar 30, 2016

Last updated

Jan 23, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmckinnon@yourcarecommunity.org
• Direct secure messaging: jesse.mckinnon.1@9964.direct.athenahealth.com

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.

• Clinch County Hospital Authority

  • Critical Access Hospital
  • Homerville, GA
  • NPI 1861478851
  Medicare reassignment NPD
• Coffee County Hospitalist Physicians, LLC

  • Independent Medical Examiner Physician
  • Douglas, GA
  • NPI 1811435464
  Medicare reassignment NPD
• Compassionate Behavioral Health

  • Clinical Social Worker
  • Douglas, GA
  • NPI 1629506787
  Medicare reassignment NPD
• CRH Physician Practices, LLC

  dba CRH Pain Management

  • Multi-Specialty Clinic/Center
  • Douglas, GA
  • NPI 1710046073
  Medicare reassignment NPD
• Gateway Community Service Board

  • Community/Behavioral Health Agency
  • Brunswick, GA
  • NPI 1558478214
  Medicare reassignment NPD
• Hospital Authority of Jeff Davis County Georgia

  dba Jeff Davis Hospital

  • Critical Access Hospital
  • Hazlehurst, GA
  • NPI 1912902263
  Medicare reassignment NPD
• Mayo Clinic Health System in Waycross, Inc.

  • Multi-Specialty Clinic/Center
  • Waycross, GA
  • NPI 1154745982
  Medicare reassignment NPD
• Gateway Behavioral Health Services

  • Mental Illness Community Based Residential Treatment Facility
  • Brunswick, GA
  • NPI 1124254321
  NPD
• Hospital Authority of Jeff Davis County Georgia

  dba Family Healthcare Connections

  • Internal Medicine Physician
  • Hazlehurst, GA
  • NPI 1528874518
  NPD
• Mayo Clinic Health System in Waycross, Inc

  • Rural Acute Care Hospital
  • Waycross, GA
  • NPI 1558334334
  NPD
• Integrated Regional Laboratories Pathology Services, LLC

  dba IRL Pathology Services

  • Anatomic Pathology & Clinical Pathology Physician
  • Atlantis, FL
  • NPI 1942526298
  NPD
• Clinch County Hospital Authority

  dba Clinch Memorial Family Practice

  • Primary Care Clinic/Center
  • Homerville, GA
  • NPI 1154895969
  NPD (past)

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1407219314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316340298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUXFORD ST",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316342356",
            "telephone_number": "229-561-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNON",
        "first_name": "JESSE",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN204966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Jill English Knight, PHARMD
• Mary G. Lankford, PHARM.D.
• Magnolia Drug Co Inc
• Magnolia Drug Co Inc
• Mark S. Ritz D.D.S. P.C.
• Heather Minshew, NP-C
• David O'Neal Morris Jr., CHIROPRACTOR
• Murray Drug Co (Acme Pharmacy)
• Megan Smith O'Neal
• Orthopedic Surgeons of Georgia LLC (Orthopedic Surgeons of Georgia - Homerville)

• Family Nurse Practitioner in Homerville, GA
• Providers in Homerville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.