Individual provider Active NPI

Michael V McKinnie Jr., PT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1447200688
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007467 Issued in GA
Practice address
550 Fairburn Rd SW
Suite B-1
Atlanta, GA 30331-2014
Phone
(404) 696-4449
Fax
(404) 696-3422
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT007467 GA Primary

Addresses

Primary practice location

550 Fairburn Rd SW
Suite B-1
Atlanta, GA 30331-2014

Mailing address

623 Lantern Park LN
Scottdale, GA 30079-6813
Phone (404) 294-9875

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040528000261 GA Practitioner - Physical Therapist in Private Practice 4981685625 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Luna Care Physical Therapy LLCGroup PAC ID 4082027727, 167 clinicians

Practice addresses (Care Compare)

260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
85.59
Improvement activities
40
Cost
69.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Physical Therapy, LLC Current Accepting new patients
Emory Physical Therapy, LLC CurrentSince Jul 1, 2021 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Jul 1, 2021 Accepting new patients
Ko-Am Gwinnett Medical PastSince Feb 26, 2012 Accepting new patients
Movement Science, Inc Physical Therapist PastSince May 27, 2004 Accepting new patients
Athletic Spine Rehabilitation, LLC Physical Therapist Past Accepting new patients
Southern Crescent Medical Clinic, Inc. PastSince Mar 1, 1994 Accepting new patients
The Institute for Physical Therapy Past Accepting new patients
Family and Physical Medicine of South Atlanta PastSince Jun 29, 2025 Accepting new patients
Business Intelligence Technology Past Accepting new patients

Locations

21 Ortho Ln
Fl 1
Atlanta, GA 30329

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

Organizations & group practices 11

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447200688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 LANTERN PARK LN",
            "city": "SCOTTDALE",
            "state": "GA",
            "postal_code": "300796813",
            "telephone_number": "404-294-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 FAIRBURN RD SW",
            "address_2": "SUITE B-1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312014",
            "telephone_number": "404-696-4449",
            "fax_number": "404-696-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNIE",
        "first_name": "MICHAEL",
        "middle_name": "V",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.