James Diamond McNevin, MD & D.C.
Individual provider Active NPI Family Medicine Physician · Madisonville, KY
NPI 1861576878 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1861576878
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 57021 (KY)
- Practice address
- 200 Clinic Dr FL 5
Madisonville, KY 42431-1661 - Phone
- (270) 825-6680
- Fax
- (270) 825-7266
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 15
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Deaconess Medical Group Inc
Practice addresses (Care Compare)
1851 N Main St
Madisonville, KY 42431-9024
Phone (270) 825-7268
Hospital & facility affiliations
- Baptist Health Deaconess Health at Home
- Caretenders
- Baptist Health Deaconess Madisonville
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091112000441 | KY | Practitioner - Family Practice |
8820136757 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57021 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Deaconess Medical Group Inc | Current |
Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Family Medicine | Current |
Accepting new patients |
| Baptist Health Deaconess Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Baptist Health Madisonville Inc | Family Medicine | Past | Accepting new patients |
| Pelphrey Chiropractic, PLLC | Chiropractor | Past | Accepting new patients |
| Teddi Eriksen Peters PLLC | Chiropractor | Past |
Accepting new patients |
| McNevin Chiropractic | Chiropractor | Past |
Accepting new patients |
Locations
1851 N Main St
Madisonville, KY 42431
Phone (270) 821-7739
800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900
200 Clinic Dr
Fl 5
Madisonville, KY 42431
Phone (270) 825-7214
200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874
Interoperability endpoints
- jmcnevin133505@bhkydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3876 | KY | |
| Family Medicine Physician | 207Q00000X | 57021 | KY | Yes |
Addresses
Primary practice location
200 Clinic Dr FL 5
Madisonville, KY 42431-1661
Mailing address
200 Clinic Dr FL 5
Madisonville, KY 42431-1661
Phone (270) 825-6680
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100795440 | Medicaid | KY |
Other providers in Madisonville, KY
- Stacey Leigh McGregor
- Rian McGuyer
- Tanya Dean McKinsey
- Rihana Paige McKnight
- Jerry Reed McNeal
- Medical Center Ambulance Service Inc
- Tina Meece-Terpening
- Christinia Nicole Melton
- Crystal C. Menser
- Josie R Menser
All providers in Madisonville, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2023. 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.
- Order and Referring (CMS).
- 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.