Individual provider Active NPI

Vikki M McKinnie, M.D.

  • Obstetrics & Gynecology Physician
  • Tallahassee, FL
National Provider Identifier
1548260821
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME93847 Issued in FL
Practice address
1401 Centerville Rd
Pob Suite 202
Tallahassee, FL 32308-4647
Phone
(850) 877-7241
Fax
(850) 877-1338
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME93847 FL
Obstetrics & Gynecology Physician 207V00000X ME93847 FL Primary

Addresses

Primary practice location

1401 Centerville Rd
Pob Suite 202
Tallahassee, FL 32308-4647

Mailing address

1401 Centerville Rd
Pob Suite 202
Tallahassee, FL 32308-4647
Phone (850) 877-7241

Other identifiers 2

IdentifierTypeStateIssuer
273341200MedicaidFL
ME93847OtherFLFLORIDA MEDICAL LICENSE

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
I20050916000567 FL Practitioner - Obstetrics/Gynecology 3870526189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Florida College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Women's Care, P.a.Group PAC ID 0840284923, 20 clinicians

Practice addresses (Care Compare)

1401 Centerville Rd
Suite 202
Tallahassee, FL 32308-4638
Phone (850) 877-7241

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.43 of 100Reported as group
Quality
57.3
Improvement activities
0
Cost
76.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Women's Care, P.a. Specialist CurrentSince Aug 1, 2005 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1401 Centerville Rd
Ste 202
Tallahassee, FL 32308
Phone (850) 205-0393

1219 Hodges Dr
Tallahassee, FL 32308
Phone (850) 877-5767

1608 Surgeons Dr
Tallahassee, FL 32308
Phone (850) 431-6200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28306/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vmckinnie21395@tallahasseememorial.direct-ci.com
  • Direct secure messaging: vikki.mckinnie.1@28306.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1548260821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD",
            "address_2": "POB SUITE 202",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084647",
            "telephone_number": "850-877-7241",
            "fax_number": "850-877-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD",
            "address_2": "POB SUITE 202",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084647",
            "telephone_number": "850-877-7241",
            "fax_number": "850-877-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNIE",
        "first_name": "VIKKI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME93847",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME93847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273341200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME93847",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.