McKinney Medical Center Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

MCKINNEY MEDICAL CENTER INC

Doing business as

Mckinney Community Health Center

Practice address

935 McDonald St
Waycross, GA 31501-4651

Phone

(912) 285-5080

Fax

(912) 287-1568

NPI assigned

May 14, 2012

Organization subpart

Yes

Parent organization

MCKINNEY MEDICAL CENTER INCAs reported in NPPES

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

Authorized official

Name

Ola Smith, CEO

Title

Ceo

Phone

(912) 287-0301

Specialties & licenses 1

Addresses

Other names 1

• Mckinney Community Health Center Doing business as

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

CLIA laboratory certificates

Part of

McKinney Medical Center Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• McKinney Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Folkston, GA
  • NPI 1548621089
  NPPES parent name

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1578822433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 QUARTERMAN ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013547",
            "telephone_number": "912-287-0301",
            "fax_number": "912-287-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 MCDONALD ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014651",
            "telephone_number": "912-285-5080",
            "fax_number": "912-287-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINNEY MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCKINNEY MEDICAL CENTER INC",
        "enumeration_date": "2012-05-14",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "OLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-287-0301",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mckinney Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Jason McCellan, RN
• Eugene Carter McDonald III, PHARM.D
• Lindey Danielle McGahee-Washington
• Patrick Thomas McKeny, DO
• McKinney Medical Center Inc
• Anna Grace McLeod, PHARM. D.
• Erin McQuaig
• Med Staff Inc
• Medfast 2
• Medical Mobility Solutions, Inc.

• Federally Qualified Health Center (FQHC) in Waycross, GA
• Providers in Waycross, GA by specialty
• Federally Qualified Health Center (FQHC) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.