Active NPI
Kathryn M McMinn, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Austell, GA
National Provider Identifier
1508946526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 46452
- Practice address
- 1664 Mulkey Rd
Austell, GA 30106 - Phone
- (770) 422-1372
- Fax
- (770) 999-2599
- NPI assigned
- Oct 16, 2006
- Last updated
- Oct 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 46452 | GA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 46452 | GA | Primary |
Addresses
Primary practice location
1664 Mulkey Rd
Austell, GA 30106
Mailing address
805 Sandy Plains Road
Medical Staff Services
Marietta, GA 30066-6340
Other practice location 1
55 Whitcher St NE
Suite 360
Marietta, GA 30060-1155
Phone (770) 422-1372
Other practice location 2
55 Whitcher St NE
Suite 360
Marietta, GA 30060-1155
Phone (770) 422-1372
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmcminn39798@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46452 | GA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Pulmonary Group, LLC | Pulmonary Disease | Past | Accepting new patients |
| Critical Care Atlanta, LLC | Critical Care Medicine | Past | Accepting new patients |
| Cardiovascular Group, PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Atlanta, GA
- NPI 1326128562
-
- Critical Care Medicine (Internal Medicine) Physician
- Atlanta, GA
- NPI 1407012586
-
dba Chattanooga Heart Institute
- Cardiovascular Disease Physician
- Chattanooga, TN
- NPI 1912906181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1508946526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 SANDY PLAINS ROAD",
"address_2": "MEDICAL STAFF SERVICES",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300666340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1664 MULKEY RD",
"city": "AUSTELL",
"state": "GA",
"postal_code": "30106",
"telephone_number": "770-422-1372",
"fax_number": "770-999-2599"
}
],
"practiceLocations": [
{
"address_1": "55 Whitcher St NE",
"address_2": "Suite 360",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300601155",
"country_code": "US",
"telephone_number": "770-422-1372",
"fax_number": "770-423-9651",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Whitcher St NE",
"address_2": "Suite 360",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300601155",
"country_code": "US",
"telephone_number": "770-422-1372",
"fax_number": "770-423-9651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMINN",
"first_name": "KATHRYN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "46452",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "GA",
"license": "46452",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmcminn39798@directwellstar.org",
"affiliation": "N",
"address_1": "1664 Mulkey Rd",
"city": "Austell",
"state": "GA",
"country_code": "US",
"postal_code": "301061114",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Austell, GA
- Nikki McHenry, D.C.
- Camille Patrice McKenzie-Brown, NP
- Brittany McKenzie-Taylor, M.D.
- Patricia Marie McLeer
- J'Shaun Andre' McLeod, PHARM.D.
- Jenan Tasha McNealey
- McPars Physical Therapy and Rehab Associates PC (Choice One Physical Therapy)
- Julie Patrice McSweeney, LPC
- Medicas Medical Clinic, LLC
- Ansa Mehreen, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.