Individual provider Active NPI

Mary Page H McKinney, CRNP

  • Nurse Practitioner
  • Talladega, AL
National Provider Identifier
1700956265
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-095841 Issued in AL
Practice address
803 North St E
Talladega, AL 35160-2529
Phone
(256) 315-2252
NPI assigned
Nov 9, 2006
Last updated
Jan 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3020 SC
Nurse Practitioner 363L00000X 1-095841 AL Primary

Addresses

Primary practice location

803 North St E
Talladega, AL 35160-2529

Mailing address

1130 22ND St S Ste 1000
Birmingham, AL 35205-2881

Other practice location 1

48 Cedars Rd
Munford, AL 36268-7191
Phone (256) 358-4553

Other practice location 2

47344 US Highway 78
Lincoln, AL 35096-6748
Phone (256) 358-4553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181015001900 AL Practitioner - Nurse Practitioner 0446252373 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

25 Bear Pkwy
Lincoln, AL 35096-6798

41357 US Hwy 280
Sylacauga, AL 35150-8046
Phone (931) 253-1110

416 N Seminary St
Suite 1100
Florence, AL 35630-6411
Phone (931) 253-1110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3020SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers, LLC CurrentSince Dec 18, 2018 Accepting new patients
American Family Care, LLC CurrentSince Aug 21, 2019 Accepting new patients
Baptist Health Centers, LLC Current Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 1, 2023 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
American Family Care, LLC CurrentSince Aug 21, 2019 Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 1, 2023 Accepting new patients
American Family Care, LLC Current Accepting new patients
Baptist Health Centers LLC CurrentSince Dec 18, 2018 Accepting new patients
Doctors Care, PA Past Accepting new patients
Inlet Medical Associates Past Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

25 Bear Pkwy
Lincoln, AL 35096
Phone (205) 548-4106

47344 US Highway 78
Lincoln, AL 35096
Phone (205) 763-7848

6316 Piccadilly Square Dr
#A
Mobile, AL 36609
Phone (205) 822-8038

48 N Cedars Rd
Munford, AL 36268
Phone (205) 358-4553

803 North St E
Talladega, AL 35160
Phone (256) 315-2252

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1700956265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 22ND ST S STE 1000",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 NORTH ST E",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602529",
            "telephone_number": "256-315-2252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 Cedars Rd",
            "address_purpose": "LOCATION",
            "city": "Munford",
            "state": "AL",
            "postal_code": "362687191",
            "country_code": "US",
            "telephone_number": "256-358-4553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47344 US Highway 78",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "AL",
            "postal_code": "350966748",
            "country_code": "US",
            "telephone_number": "256-358-4553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "MARY",
        "middle_name": "PAGE H",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "3020",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-095841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Talladega, AL

Sources for this page

Verify at the official NPI Registry.