MAYSVILLE FAMILY PRACTICE, INC
NPI 1366648644
Family Medicine in Maysville, GA

Active since June 25, 2007
14 HOMER STREET, MAYSVILLE, GA 30558(706) 652-2252(706) 652-3444 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Maysville Family Practice, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYSVILLE FAMILY PRACTICE, INC (NPI 1366648644) is a healthcare organization registered as a family medicine in Maysville, Georgia and active in the NPI registry since June 2007. The organization lists Donna Ann Kinsey, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1366648644
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAYSVILLE FAMILY PRACTICE, INC
Location Address14 HOMER STREETMaysville, GA 30558-1738
Mailing AddressPo Box 349Maysville, GA 30558-0349 · (706) 652-2252 · Fax (706) 652-3444
Fax(706) 652-3444
Organization SubpartNo
Authorized OfficialDonna Ann KinseyOffice Manager · (706) 652-2252
Enumeration DateJune 25, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1366648644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 030637
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
14 HOMER STREET, Maysville, GA 30558

Other Identifiers 1

Other1346320363GA · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maysville Family Practice, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Maysville Family Practice, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1346320363
4 N MAIN ST
Maysville, GA 30558
(706) 652-2252
✔ PECOS✔ Accepts Medicare0.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0261696

Maysville Family Practice Inc · Maysville, GA
Expired · Oct 23, 2026
CLIA Number11D0261696
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2024
Certificate Expiration DateOctober 23, 2026
Laboratory DirectorGary S. Kinsey
Laboratory Phone(706) 652-2252
Laboratory LocationMaysville Family Practice Inc4 North Main Street, Maysville, GA 30558
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maysville Family Practice, Inc's NPI number?

The NPI number for Maysville Family Practice, Inc is 1366648644. It was assigned to this organization in the NPPES registry on June 25, 2007.

Where is Maysville Family Practice, Inc located?

Maysville Family Practice, Inc is located at 14 Homer Street, Maysville, GA 30558. The listed phone number is (706) 652-2252.

What is Maysville Family Practice, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Maysville Family Practice, Inc enrolled in Medicare?

Yes. Maysville Family Practice, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maysville Family Practice, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Maysville Family Practice, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Maysville Family Practice, Inc accept?

Health plans from Alliant Health Plans, Inc. list Maysville Family Practice, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maysville Family Practice, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.