Kevin Joseph McRae, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

081021 Issued in GA

Practice address

1538 13TH Ave Ste C200
Columbus, GA 31901-2546

Phone

(706) 320-2547

Fax

(706) 320-2549

NPI assigned

Apr 30, 2012

Last updated

Nov 22, 2024By the provider in NPPES

Sex

Male

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Serena D. Tidwell, M.D., P.C.Group PAC ID 9931291226, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Serena D. Tidwell, M.D., P.C.

  dba Midtown OB GYN

  • Point of Service
  • Columbus, GA
  • NPI 1689759581
  Medicare reassignment Care Compare group NPD
• St. Francis Physician Practices LLC

  dba St. Francis Primary Care

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1326749417
  Medicare reassignment NPD
• Rrsoc LLC

  • Body Imaging Physician
  • Columbus, GA
  • NPI 1295445237
  NPD
• St Francis Physician Practices LLC

  dba St. Francis Center for Breast Health Radiologists

  • Diagnostic Radiology Physician
  • Columbus, GA
  • NPI 1245605682
  NPD
• St. Francis Physician Practices LLC

  • Gastroenterology Physician
  • Columbus, GA
  • NPI 1609655646
  NPD
• St Francis Physician Practices LLC

  dba St. Francis Cardiothoracic and Vascular Institute

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Columbus, GA
  • NPI 1336514777
  NPD (past)

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1497013353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 13TH AVE STE C200",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012546",
            "telephone_number": "706-320-2547",
            "fax_number": "706-320-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 13TH AVE STE C200",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012546",
            "telephone_number": "706-320-2547",
            "fax_number": "706-320-2549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3081 Williams Rd Unit A",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319095716",
            "country_code": "US",
            "telephone_number": "706-320-2547",
            "fax_number": "706-320-2549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCRAE",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "081021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lachrista McQueen
• Omar McQueen
• Rachel Corbin McQuinn, BCBA
• MCR Therapy, LLC
• Henry Francis McRae Jr., OTR/L
• Kimberly McRae
• Ronald McRae
• Sylvester McRae, MD
• Johwana McRoy
• Jamie McTier, SST II

• Obstetrics & Gynecology Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.
• 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.