Kerri Cassidy McKinney, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

601 Broad St SE Ste B
Gainesville, GA 30501-3718

Phone

(678) 989-1515

Fax

(770) 868-5650

NPI assigned

Oct 27, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: kerricassidy-mckinney@apr.allscriptsdirect.net

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.

• Mark a Ellis, MD, PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bogart, GA
  • NPI 1841261294
  Medicare reassignment
• Georgia Heart Institute LLC

  • Cardiovascular Disease Physician
  • Gainesville, GA
  • NPI 1477976520
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1457436255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80883",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306080883",
            "telephone_number": "706-549-8114",
            "fax_number": "706-549-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BROAD ST SE STE B",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013718",
            "telephone_number": "678-989-1515",
            "fax_number": "770-868-5650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Franklin Springs St",
            "address_purpose": "LOCATION",
            "city": "Royston",
            "state": "GA",
            "postal_code": "306624134",
            "country_code": "US",
            "telephone_number": "706-245-7371",
            "fax_number": "706-621-7557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 Franklin Springs St",
            "address_purpose": "LOCATION",
            "city": "Royston",
            "state": "GA",
            "postal_code": "306624134",
            "country_code": "US",
            "telephone_number": "706-245-7371",
            "fax_number": "706-621-7557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "KERRI",
        "middle_name": "CASSIDY",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Clay McHugh, M.D.
• Jeffrey N McIntire, M.D.
• Courtney A McKay, MD
• Rachael N McKee, PA
• McKinney Hearing Solutions, LLC (Miracle-Ear of Gainesville)
• John Tavis McLean, AAC
• Molly Marie McNamee, MD, MPH
• Noah McNeill
• Keith Lennell McRae, DMD
• Daniel McSpadden, COTA/L

• Physician Assistant in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.