Individual provider Active NPI

John M McKinney Jr., M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Temple, TX
National Provider Identifier
1457330813
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
T7818 Issued in TX
Practice address
2401 S 31St St
Temple, TX 76508-2014
Phone
(254) 724-2111
NPI assigned
Jan 13, 2006
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 35821 AL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X T7818 TX Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME 066933 FL

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508-2014

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other practice location 1

4370 W Main St
Dothan, AL 36305-1056
Phone (334) 699-7900

Other practice location 2

4300 W Main St Ste 21
Dothan, AL 36305-1058
Phone (334) 699-7900

Other practice location 3

3191 Harbor Blvd Ste B
Port Charlotte, FL 33952-6755
Phone (941) 744-2640

Other practice location 4

2055 E South Blvd Ste 603
Montgomery, AL 36116-2014
Phone (334) 747-8800

Other practice location 5

833 Princeton Ave SW Ste 200A
Birmingham, AL 35211-1321
Phone (205) 786-2776

Other identifiers 3

IdentifierTypeStateIssuer
512-12911OtherALBCBS OF ALABAMA
220320MedicaidAL
A02250AOtherALMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmckinney1087895@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL, TX, GA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20070328000474 FL Practitioner - Thoracic Surgery 6305940537 Reassigns benefits to 2 organizations
I20171031002986 AL Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 6305940537 Reassigns benefits to 3 organizations
I20220718002741 TX Practitioner - Thoracic Surgery 6305940537 Reassigns benefits to 1 organization
I20230706003462 GA Practitioner - Thoracic Surgery 6305940537

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Ohio State University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5701 Airport Rd
Temple, TX 76502-7092

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 066933FLMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
T7818TXMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Aug 20, 2018 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
KND Development 59 LLC Current Accepting new patients
Baptist Health Centers, LLC CurrentSince Sep 1, 2019 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Aug 20, 2018 Accepting new patients
Treasure Coast Thoracic Surgery, P.a. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 1, 2008 Accepting new patients
KND Development 59, LLC CurrentSince Nov 16, 2011 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Apr 26, 2017 Accepting new patients
Baptist Health Centers LLC CurrentSince Sep 1, 2019 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Apr 26, 2017 Accepting new patients
KND Development 59, LLC CurrentSince Nov 16, 2011 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
Therapy One CR PastSince Jan 27, 2017 Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients
North Brevard Medical Support, Inc Past Accepting new patients
Premier Dermatology, LLC PastSince Feb 9, 2014 Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

833 Princeton Ave SW
Ste 200A
Birmingham, AL 35211
Phone (205) 786-2776

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

2055 E South Blvd
Ste 603
Montgomery, AL 36116
Phone (334) 281-9000

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1355 Hickory St
Ste 202
Melbourne, FL 32901
Phone (321) 434-5396

816 US Highway 1
Sebastian, FL 32958
Phone (772) 581-5848

3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719

Interoperability endpoints

  • Direct secure messaging: jmckinney1087895@direct.sw.org
  • Direct secure messaging: jmckinney1351628@ahs.direct-ci.com

Organizations & group practices 19

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 19

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1457330813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765082014",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4370 W Main St",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363051056",
            "country_code": "US",
            "telephone_number": "334-699-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 W Main St Ste 21",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363051058",
            "country_code": "US",
            "telephone_number": "334-699-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3191 Harbor Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339526755",
            "country_code": "US",
            "telephone_number": "941-744-2640",
            "fax_number": "941-744-2650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2055 E South Blvd Ste 603",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361162014",
            "country_code": "US",
            "telephone_number": "334-747-8800",
            "fax_number": "334-747-8810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 Princeton Ave SW Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111321",
            "country_code": "US",
            "telephone_number": "205-786-2776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AL",
            "license": "35821",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "T7818",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME 066933",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "512-12911",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220320",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "A02250A",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmckinney1087895@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765082014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.