Individual provider Active NPI

John Martin Kinsey, FNP

  • Family Medicine Physician
  • Hattiesburg, MS
National Provider Identifier
1447736491
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
902780 Issued in MS
Practice address
6414 Hwy 98 West
70
Hattiesburg, MS 39402-3940
Phone
(601) 298-1881
NPI assigned
Jul 12, 2018
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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 134781 AK
Family Medicine Physician 207Q00000X 902780 MS Primary

Addresses

Primary practice location

6414 Hwy 98 West
70
Hattiesburg, MS 39402-3940

Mailing address

6414 Hwy 98 West
70
Hattiesburg, MS 39402-4612
Phone (601) 298-1881

Other practice location 1

509 Pine Ave
Kenai, AK 99611-7556
Phone (228) 990-2143

Other practice location 2

1104 Homestead Blvd
Gautier, MS 39553-4612
Phone (228) 990-2143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181211003668 MS Practitioner - Nurse Practitioner 8729322169 Reassigns benefits to 14 organizations
I20240209000275 ND Practitioner - Nurse Practitioner 8729322169 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RH Hospitalist Medicine of Walthall General LLCGroup PAC ID 2365881091, 16 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Tylertown, MS 39667-2022
Phone (601) 876-2122

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902780MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RH Emergency Medicine of Highland Community LLC CurrentSince Feb 1, 2024 Accepting new patients
George Regional ER Physicians CurrentSince Mar 1, 2022 Accepting new patients
RH Hospitalist Medicine of Walthall General LLC CurrentSince May 1, 2024 Accepting new patients
RH Hospitalist Medicine of Jefferson Davis LLC CurrentSince May 1, 2024 Accepting new patients
Community Medical Center Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
RH Emergency Medicine of Pearl River LLC CurrentSince Jan 28, 2024 Accepting new patients
St. Andrew's Hospital CurrentSince Dec 26, 2023 Accepting new patients
St. Andrew's Hospital CurrentSince Dec 26, 2023 Accepting new patients
RH Emergency Medicine of Walthall General LLC CurrentSince May 1, 2024 Accepting new patients
RH Emergency Medicine of Jefferson Davis LLC CurrentSince May 1, 2024 Accepting new patients
Inpatient Physician Services CurrentSince Mar 1, 2022 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Aug 1, 2019 Accepting new patients
Greene County Family Medical Clinic CurrentSince Mar 1, 2022 Accepting new patients
RH Emergency Medicine of Perry County LLC CurrentSince Feb 1, 2024 Accepting new patients
JMK Medical Group LLC CurrentSince Mar 29, 2020 Accepting new patients
RH Hospitalist Medicine of Marion General LLC CurrentSince Jan 28, 2024 Accepting new patients
RH Emergency Medicine of Marion General LLC CurrentSince Jan 28, 2024 Accepting new patients
RH Hospitalist Medicine of Highland Community LLC CurrentSince Feb 1, 2024 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Aug 1, 2019 Accepting new patients

Locations

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

1017 Jackson Ave
Leakesville, MS 39451
Phone (601) 394-2820

859 Winter St
Lucedale, MS 39452
Phone (601) 766-4286

92 Ratliff St
#A
Lucedale, MS 39452
Phone (601) 947-4411

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

305 W Moody St
Poplarville, MS 39470
Phone (601) 795-4345

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

206 Bay Ave
Richton, MS 39476
Phone (601) 788-6316

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

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

316 Ohmer St
Bottineau, ND 58318
Phone (701) 228-9300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHCBA

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 3

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": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1447736491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6414 HWY 98 WEST",
            "address_2": "70",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394024612",
            "telephone_number": "601-298-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6414 HWY 98 WEST",
            "address_2": "70",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394023940",
            "telephone_number": "601-298-1881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Pine Ave",
            "address_purpose": "LOCATION",
            "city": "Kenai",
            "state": "AK",
            "postal_code": "996117556",
            "country_code": "US",
            "telephone_number": "228-990-2143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1104 Homestead Blvd",
            "address_purpose": "LOCATION",
            "city": "Gautier",
            "state": "MS",
            "postal_code": "395534612",
            "country_code": "US",
            "telephone_number": "228-990-2143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINSEY",
        "first_name": "JOHN",
        "middle_name": "MARTIN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "134781",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "902780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.