Individual provider Active NPI

Keith McCoy, MD

  • Emergency Medicine Physician
  • Columbus, MS
National Provider Identifier
1508809062
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
14193 Issued in MS
Practice address
2520 5TH St N
Columbus, MS 39705-2008
Phone
(904) 805-1300
Fax
(904) 805-1302
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 14193 MS Primary

Addresses

Primary practice location

2520 5TH St N
Columbus, MS 39705-2008

Mailing address

PO Box 75473
Baltimore, MD 21275-5473
Phone (904) 805-1300

Other identifiers 3

IdentifierTypeStateIssuer
00126248MedicaidMS
73104263OtherMSALABAMA BLUE CROSS
P00196900OtherMSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20041203000163 MS Practitioner - Emergency Medicine 2860458643 Reassigns benefits to 1 organization
I20120626000456 AL Practitioner - Emergency MedicinePractitioner - Family Practice 2860458643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as individual
Quality
88.62
Improvement activities
0
Cost
77.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17053ALMDPharmacist
14193MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Correct Care, Inc. Emergency Medicine CurrentSince Jun 5, 2012 Accepting new patients
Vernon Medical Center CurrentSince Jan 1, 2022 Accepting new patients
United Emergency Services of Mississippi Emergency Medicine CurrentSince Nov 1, 2006 Accepting new patients
Sterling Emergency Services of Mississippi, Inc Emergency Medicine Past Accepting new patients
Fayette Medical Center Past Accepting new patients
Baptist Memorial Hospital - Golden Triangle Inc. Past Accepting new patients
Columbus Emergency Services, LLC Emergency Medicine Past Accepting new patients

Locations

44946 Highway 17
Vernon, AL 35592
Phone (205) 557-1300

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

2520 5th St N
Columbus, MS 39705
Phone (662) 224-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25441/brand/1/csg/1/fhir/r4
  • Direct secure messaging: keith.mccoy.1@25441.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508809062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75473",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212755473",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052008",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "14193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126248",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BLUE CROSS",
            "identifier": "73104263",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00196900",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.