Individual provider Active NPI

Kenneth Brian McCay, CRNP

  • Family Nurse Practitioner
  • Oneonta, AL
National Provider Identifier
1427651132
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-073975 Issued in AL
Practice address
2040 2ND Ave E
Oneonta, AL 35121-2818
Phone
(205) 274-9700
NPI assigned
Nov 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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 1-073975 AL Primary

Addresses

Primary practice location

2040 2ND Ave E
Oneonta, AL 35121-2818

Mailing address

1725 Center Hill Rd
Trafford, AL 35172-9477
Phone (205) 527-5778

Other practice location 1

1912 Al Highway 157
Cullman, AL 35058-0609
Phone (256) 737-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20201218001030 AL Practitioner - Nurse Practitioner 4880006618 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vincentian Physician Services LLCGroup PAC ID 1557548161, 81 clinicians

Practice addresses (Care Compare)

2217 Decatur Hwy
Suite 101
Gardendale, AL 35071-2301
Phone (205) 418-1200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-073975ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent'S Urgent Care LLC CurrentSince Jul 2, 2024 Accepting new patients
Island Medical Alabama LLC CurrentSince Dec 1, 2020 Accepting new patients
Vincentian Physician Services LLC Family CurrentSince Oct 9, 2023 Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

2217 Decatur Hwy
Gardendale, AL 35071
Phone (205) 418-1200

2217 Decatur Hwy
#101
Gardendale, AL 35071
Phone (205) 418-1200

1944 28th Ave S
Homewood, AL 35209
Phone (205) 408-2366

3140 Cahaba Heights Rd
Vestavia, AL 35243
Phone (205) 967-7302

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

Interoperability endpoints

  • Direct secure messaging: kenneth.mccay.1@9069.direct.athenahealth.com

Organizations & group practices 3

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": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1427651132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 CENTER HILL RD",
            "city": "TRAFFORD",
            "state": "AL",
            "postal_code": "351729477",
            "telephone_number": "205-527-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 2ND AVE E",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351212818",
            "telephone_number": "205-274-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1912 Al Highway 157",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350580609",
            "country_code": "US",
            "telephone_number": "256-737-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCAY",
        "first_name": "KENNETH",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-073975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, AL

Sources for this page

Verify at the official NPI Registry.