Individual provider Active NPI

Genevieve McKinley, MD

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1518490457
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME140840 Issued in FL
Practice address
2501 N Orange Ave Ste 301
Orlando, FL 32804-4642
Phone
(727) 741-3487
NPI assigned
Apr 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X ME140840 FL Primary

Addresses

Primary practice location

2501 N Orange Ave Ste 301
Orlando, FL 32804-4642

Mailing address

2501 N Orange Ave Ste 301
Orlando, FL 32804-4642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210831002155 FL Practitioner - Emergency Medicine 0648606400 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME140840FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Observation Medical Group LLC CurrentSince Sep 23, 2024 Accepting new patients
Emergency Medical Associates of Tampa Bay, LLC CurrentSince Jun 29, 2023 Accepting new patients
Observation Medical Group LLC CurrentSince Sep 23, 2024 Accepting new patients
Tampa Bay Emergency Physicians-Heartland LLC CurrentSince Aug 18, 2021 Accepting new patients
Pediatrix Medical Group of Florida Inc Past Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients

Locations

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402

4501 Bruce B Downs Blvd
Wesley Chapel, FL 33544
Phone (813) 870-4000

Organizations & group practices 6

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": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1518490457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE STE 301",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE STE 301",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044642",
            "telephone_number": "727-741-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "GENEVIEVE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME140840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.