Active NPI
Cynthia Denise McKinney, MD
- Family Medicine Physician
- Grand Prairie, TX
National Provider Identifier
1912157819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q3048
- Practice address
- 2520 W Interstate 20
Grand Prairie, TX 75052-7280 - Phone
- (972) 264-5858
- Fax
- (972) 264-8800
- NPI assigned
- Sep 26, 2008
- Last updated
- Mar 12, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Q3048 | TX | Primary |
Addresses
Primary practice location
2520 W Interstate 20
Grand Prairie, TX 75052-7280
Mailing address
PO Box 9101
Coppell, TX 75019-9494
Phone (972) 745-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Health Physicians, PLLC | Past | Accepting new patients | |
| Graybill Medical Group Inc | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- cynthia.mckinney.1@22349.direct.athenahealth.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1912157819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9101",
"city": "COPPELL",
"state": "TX",
"postal_code": "750199494",
"telephone_number": "972-745-7500",
"fax_number": "972-471-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 W INTERSTATE 20",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750527280",
"telephone_number": "972-264-5858",
"fax_number": "972-264-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "CYNTHIA",
"middle_name": "DENISE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-26",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q3048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.