Individual provider Active NPI

John Michael McKinney, PA-C

  • Physician Assistant
  • Seymour, IN
National Provider Identifier
1962100271
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10004040A Issued in IN
Practice address
411 W Tipton St
Seymour, IN 47274-2363
Phone
(812) 524-3311
Fax
(812) 524-3310
NPI assigned
Feb 16, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10004040A IN Primary

Addresses

Primary practice location

411 W Tipton St
Seymour, IN 47274-2363

Mailing address

411 W Tipton St
Seymour, IN 47274-2363
Phone (812) 524-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230711000294 IN Practitioner - Physician Assistant 7416321302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson County Schneck Memorial HospitalGroup PAC ID 8224004585, 139 clinicians

Practice addresses (Care Compare)

200 S Walnut St
Seymour, IN 47274-2312
Phone (812) 522-2349

403 S Main St
Salem, IN 47167-1350
Phone (812) 883-1760

411 W Tipton St
Seymour, IN 47274-2363
Phone (812) 522-2349

Hospital & facility affiliations

  • Schneck Medical Center Hospital, Seymour, IN, CCN 150065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5424TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Schneck Memorial Hospital CurrentSince May 22, 2025 Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients
Jackson County Schneck Memorial Hospital Past Accepting new patients
Orthotennessee, PC Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

2145 N State Highway 3
North Vernon, IN 47265
Phone (812) 346-6010

1366 N Gardner St
Ste 140
Scottsburg, IN 47170
Phone (812) 522-0172

1366 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-3524

200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

1124 Medical Pl
Seymour, IN 47274
Phone (812) 519-1552

411 W Tipton St
#3
Seymour, IN 47274

Interoperability endpoints

  • Direct secure messaging: john.mckinney.p1@direct.orthotn.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1962100271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W TIPTON ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742363",
            "telephone_number": "812-524-3311",
            "fax_number": "812-524-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W TIPTON ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742363",
            "telephone_number": "812-524-3311",
            "fax_number": "812-524-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-16",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004040A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.