Individual provider Active NPI

James A McKinney, DO

  • General Practice Physician
  • Georgetown, TX
National Provider Identifier
1861571614
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
N3174 Issued in TX
Practice address
3201 S Austin Ave
Ste 255
Georgetown, TX 78626-7545
Phone
(512) 763-4325
Fax
(512) 763-4324
NPI assigned
Nov 3, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X N3174 TX Primary

Addresses

Primary practice location

3201 S Austin Ave
Ste 255
Georgetown, TX 78626-7545

Mailing address

5009 University Ave
Ste C
Lubbock, TX 79413-4432
Phone (254) 634-6999

Other identifiers 1

IdentifierTypeStateIssuer
275004YYNOtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20111229000215 TX Practitioner - General PracticePractitioner - Diagnostic RadiologyPractitioner - Other (Physician) 1951577790 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince May 6, 2019 Accepting new patients
Transitions Care Management PA CurrentSince Jul 24, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 6, 2019 Accepting new patients
Arise Healthcare System, LLC Past Accepting new patients
Central Illinois Radiological Associates, LTD. PastSince Aug 17, 2015 Accepting new patients

Locations

4207 Burnet Rd
Austin, TX 78756
Phone (512) 671-1100

5009 University Ave
Ste C
Lubbock, TX 79413
Phone (214) 945-4043

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861571614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 UNIVERSITY AVE",
            "address_2": "STE C",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794134432",
            "telephone_number": "254-634-6999",
            "fax_number": "254-200-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S AUSTIN AVE",
            "address_2": "STE 255",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267545",
            "telephone_number": "512-763-4325",
            "fax_number": "512-763-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "N3174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "275004YYN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.