Active NPI
Adam Nathaniel McKinney, CAA
- Anesthesiologist Assistant
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 75000109A
- Practice address
- 6435 W Jefferson Blvd # 434
Fort Wayne, IN 46804-6203 - Phone
- (260) 436-7875
- Fax
- (260) 432-9812
- NPI assigned
- Aug 5, 2019
- Last updated
- Mar 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 75000109A | IN | Primary |
Addresses
Primary practice location
6435 W Jefferson Blvd # 434
Fort Wayne, IN 46804-6203
Mailing address
PO Box 843603
Dallas, TX 75284-0001
Phone (972) 233-1999
Other practice location 1
4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4023 Reas LN
New Albany, IN 47150-2228
Phone (812) 206-7660
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Indiana LLC | Current | Accepting new patients | |
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| One Anesthesia PLLC | Current | Accepting new patients | |
| Associated Anesthesiologists of Fort Wayne PC | Anesthesiologist Assistant | Current | Accepting new patients |
| Anesthesia Consultants of Savannah, PC | Current | Accepting new patients | |
| U S Anesthesia Partners of Kentucky PSC | Anesthesiologist Assistant | Past | Accepting new patients |
Locations
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875
6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875
1220 Missouri Ave
Rm 2547
Jeffersonville, IN 47130
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
4023 Reas Ln
New Albany, IN 47150
Phone (502) 489-4325
320 Whittington Pkwy
Ste 301
Louisville, KY 40222
Phone (502) 625-5584
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.
-
dba Midwest Anesthesia Associates
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1538159140
Anesthesiologist Assistant
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1679774343
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1174513246
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1144901042
Anesthesiologist Assistant
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Floyd
- General Acute Care Hospital
- New Albany, IN
- NPI 1497798847
-
- General Acute Care Hospital
- New Albany, IN
- NPI 1689857385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1891340030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843603",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840001",
"telephone_number": "972-233-1999",
"fax_number": "972-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6435 W JEFFERSON BLVD # 434",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468046203",
"telephone_number": "260-436-7875",
"fax_number": "260-432-9812"
}
],
"practiceLocations": [
{
"address_1": "4700 Waters Ave",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314046220",
"country_code": "US",
"telephone_number": "912-350-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKINNEY",
"first_name": "ADAM",
"middle_name": "NATHANIEL",
"credential": "CAA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-05",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "IN",
"license": "75000109A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.