McGee Medical LLC – Primary Care Nurse Practitioner

Key facts

NPI: 1558185751
Entity type: Organization (NPI type 2)
Primary specialty: Primary Care Nurse Practitioner 363LP2300X
Legal business name: MCGEE MEDICAL LLC
Practice address: 119 S Oak Ste 2
Raymond, MS 39154-4205
Phone: (601) 915-2095
Fax: (601) 851-3020
NPI assigned: Nov 13, 2024
Organization subpart: No

Authorized official

Name: Mr. James Fitzgerald McGee Sr.
Title: Owner
Phone: (769) 206-1458

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Dodie D McGee, MSN, RN, FNP-BC Family Nurse Practitioner · Raymond, MS · NPI 1124522909

Medicare reassignment Care Compare group NPD MS · SINGLE SPECIALTY
Kashonna Norton Family Nurse Practitioner · Raymond, MS · NPI 1275384570

Medicare reassignment Care Compare group NPD MS

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
25D2171128	McGee Medical LLC 119 South Oak St Ste 2, Raymond, MS 39154	Certificate of waiver	Aug 26, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MS

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20250107000176	MS	Part B Supplier - Clinic/Group Practice	3577091420	Receives reassigned benefits from 2 practitioners Practice locations: Raymond, MS

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Primary Care Nurse Practitioner Group: 193400000X SINGLE SPECIALTY GROUP	363LP2300X			Yes

Addresses

Primary practice location

119 S Oak Ste 2
Raymond, MS 39154-4205

Mailing address

PO Box 664
Raymond, MS 39154-0664
Phone (601) 915-2095

Other providers in Raymond, MS

All providers in Raymond, MS · Primary Care Nurse Practitioner in Mississippi

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.