Organization Active NPI

Mky Healthcare Services LLC

Doing business as Easy Healthcare Online

  • Family Medicine Physician
  • Vienna, GA
National Provider Identifier
1982362224
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MKY HEALTHCARE SERVICES LLC
Doing business as
Easy Healthcare Online
Practice address
1380 US Highway 41
Vienna, GA 31092-7744
Phone
(229) 598-0595
Fax
(206) 471-6113
NPI assigned
Dec 3, 2021
Last updated
Mar 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Authorized official

Name
Melanie Kinard Yawn, FNPNPI 1295149029
Title
Owner
Phone
(229) 886-9139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1380 US Highway 41
Vienna, GA 31092-7744

Mailing address

1380 US Highway 41
Vienna, GA 31092-7744
Phone (229) 598-0595

Other names 1

  • Easy Healthcare Online Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://athenanet.athenahealth.com/24536/18/globalframeset.esp?MAIN=https%3A%2F%2Fathenanet%2Eathenahealth%2Ecom%2F24536%2F18%2Fax%2Fdashboard Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220518002297 GA Part B Supplier - Clinic/Group Practice 0345627022 Receives reassigned benefits from 2 practitioners
Practice locations: Cordele, GA; Vienna, GA

National Provider Directory

National Provider Directory

Locations

2010 Central Ave Ext
Cordele, GA 31015
Phone (229) 598-0595

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1982362224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 US HIGHWAY 41",
            "city": "VIENNA",
            "state": "GA",
            "postal_code": "310927744",
            "telephone_number": "229-598-0595",
            "fax_number": "206-471-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 US HIGHWAY 41",
            "city": "VIENNA",
            "state": "GA",
            "postal_code": "310927744",
            "telephone_number": "229-598-0595",
            "fax_number": "206-471-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKY HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "YAWN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "KINARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-886-9139",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://athenanet.athenahealth.com/24536/18/globalframeset.esp?MAIN=https%3A%2F%2Fathenanet%2Eathenahealth%2Ecom%2F24536%2F18%2Fax%2Fdashboard",
            "affiliation": "N",
            "endpointDescription": "Athena software network",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1380 US Highway 41",
            "city": "Vienna",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310927744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Easy Healthcare Online",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Easy Healthcare Online",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vienna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.