Active NPI
Keith McCoy, MD
- Emergency Medicine Physician
- Columbus, MS
National Provider Identifier
1508809062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 14193
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00126248 | Medicaid | MS | |
| 73104263 | Other | MS | ALABAMA BLUE CROSS |
| P00196900 | Other | MS | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 17053 | AL | MD | Pharmacist |
| 14193 | MS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Correct Care, Inc. | Emergency Medicine | Current | Accepting new patients |
| Vernon Medical Center | Current | Accepting new patients | |
| United Emergency Services of Mississippi | Emergency Medicine | Current | 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
- https://api.platform.athenahealth.com/25441/brand/1/csg/1/fhir/r4
- 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.
-
- Emergency Medicine Physician
- Columbus, MS
- NPI 1801983309
-
- Family Medicine Physician
- Vernon, AL
- NPI 1841950052
-
- General Acute Care Hospital
- Columbus, MS
- NPI 1609830173
-
- Nurse Practitioner
- Jackson, MS
- NPI 1932167533
Emergency Medicine
-
- General Acute Care Hospital
- Fayette, AL
- NPI 1851323836
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.