Individual provider Active NPI

Christy Dawn McKinney, FNP

  • Family Nurse Practitioner
  • Biloxi, MS
National Provider Identifier
1427282060
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R864587 Issued in MS
Practice address
1756 Popps Ferry Rd
Biloxi, MS 39532-2118
Phone
(228) 865-3200
Fax
(228) 575-1660
NPI assigned
May 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R864587 MS Primary

Addresses

Primary practice location

1756 Popps Ferry Rd
Biloxi, MS 39532-2118

Mailing address

1756 Popps Ferry Rd
Biloxi, MS 39532-2118
Phone (228) 865-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20100616000586 MS Practitioner - Nurse Practitioner 6305976481 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R864587MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maxem Health Urgent Care Diberville CurrentSince Aug 1, 2019 Accepting new patients
Orange Grove Urgent Care CurrentSince Jun 9, 2018 Accepting new patients
Gulfport 49 Imaging, LLC CurrentSince May 9, 2021 Accepting new patients
Pascagoula Urgent Care CurrentSince Jun 9, 2018 Accepting new patients

Locations

10319 Diberville Blvd
Diberville, MS 39540
Phone (228) 395-2999

10556 Highway 49
Gulfport, MS 39503
Phone (228) 539-2399

2210 Denny Ave
Pascagoula, MS 39567
Phone (228) 372-6040

Interoperability endpoints

  • Direct secure messaging: cmckinney@direct.mhg.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1427282060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 POPPS FERRY RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322118",
            "telephone_number": "228-865-3200",
            "fax_number": "228-575-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 POPPS FERRY RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322118",
            "telephone_number": "228-865-3200",
            "fax_number": "228-575-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "CHRISTY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R864587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.