Individual provider Active NPI

Kevin McPherson, M.D.

  • Psychiatry Physician
  • Columbus, GA
National Provider Identifier
1477755312
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
65152 Issued in GA
Practice address
2263 Brookstone Centre Pkwy
Ste C
Columbus, GA 31904-4650
Phone
(706) 341-4060
Fax
(706) 341-4061
NPI assigned
Jun 4, 2007
Last updated
Oct 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 65152 GA Primary

Addresses

Primary practice location

2263 Brookstone Centre Pkwy
Ste C
Columbus, GA 31904-4650

Mailing address

2263 Brookstone Centre Pkwy
Ste C
Columbus, GA 31904-4650
Phone (706) 341-4060

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130918000772 GA Practitioner - Psychiatry 5092959759 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Services at Brookstone, PC Psychiatry CurrentSince Nov 1, 2014 Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Lifespan Psychology, P.C. Past Accepting new patients
Columbus Psychological Assoc. PastSince Sep 1, 2013 Accepting new patients

Locations

2263 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 341-4060

2263 Brookstone Centre Pkwy
Ste A
Columbus, GA 31904

2263 Brookstone Centre Pkwy
Ste C
Columbus, GA 31904
Phone (706) 322-3280

Interoperability endpoints

  • Direct secure messaging: kevinmcpherson@tdh.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1477755312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 BROOKSTONE CENTRE PKWY",
            "address_2": "STE C",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044650",
            "telephone_number": "706-341-4060",
            "fax_number": "706-341-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2263 BROOKSTONE CENTRE PKWY",
            "address_2": "STE C",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319044650",
            "telephone_number": "706-341-4060",
            "fax_number": "706-341-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "65152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.