MR. JESSE MCKINNON FNP-C
NPI 1407219314
Nurse Practitioner - Family in Homerville, GA
About Mr. Jesse Mckinnon Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JESSE MCKINNON FNP-C (NPI 1407219314) is an individual family provider in Homerville, Georgia, licensed in Georgia (RN204966) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Jesse Mckinnon Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
7Medicare enrollment records show Jesse Mckinnon reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Homerville, GA 31634
- Reassigned Medicare billing, Georgia enrollment
- 96 clinicians in this Medicare group
Waycross, GA 31501
- Reassigned Medicare billing, Georgia enrollment
- 76 clinicians in this Medicare group
Douglas, GA 31533
- Reassigned Medicare billing, Georgia enrollment
- 3 clinicians in this Medicare group
Douglas, GA 31533
- Reassigned Medicare billing, Georgia enrollment
- 31 clinicians in this Medicare group
Douglas, GA 31533
- Reassigned Medicare billing, Georgia enrollment
- 51 clinicians in this Medicare group
Hazlehurst, GA 31539
- Reassigned Medicare billing, Georgia enrollment
- 29 clinicians in this Medicare group
Brunswick, GA 31523
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Gateway Community Service Board
- 70 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31634 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jesse Mckinnon's NPI number?
The NPI number for Jesse Mckinnon is 1407219314. It was assigned to this individual provider in the NPPES registry on March 30, 2016.
Where is Jesse Mckinnon located?
Jesse Mckinnon practices at 80 Huxford St, Homerville, GA 31634. The listed phone number is (229) 561-5592.
What is Jesse Mckinnon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jesse Mckinnon enrolled in Medicare?
Yes. Jesse Mckinnon is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jesse Mckinnon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Mckinnon reassigns Medicare benefits to 7 organizations: Clinch County Hospital Authority (Homerville, GA), Mayo Clinic Health System In Waycross, Inc. (Waycross, GA), Compassionate Behavioral Health (Douglas, GA), Coffee County Hospitalist Physicians, LLC (Douglas, GA), Crh Physician Practices, LLC (Douglas, GA) and 2 more organizations, listed in the Medicare section above. Each 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 Jesse Mckinnon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jesse Mckinnon accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Jesse Mckinnon 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 Jesse Mckinnon was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mr. Jesse Mckinnon, FNP-C · NPI 1407219314
Family physician in Homerville, Georgia. Individual provider, active in the CMS NPPES registry since March 30, 2016.
## Identity
- **NPI:** 1407219314 (Entity type: Individual)
- **Enumerated:** March 30, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN204966 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 80 HUXFORD ST, Homerville, GA 31634-2356
- **Phone:** (229) 561-5592
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Clinch County Hospital Authority (NPI 1154895969, Homerville, GA); Mayo Clinic Health System In Waycross, Inc. (NPI 1154745982, Waycross, GA); Compassionate Behavioral Health (NPI 1629506787, Douglas, GA); Coffee County Hospitalist Physicians, LLC (NPI 1811435464, Douglas, GA); Crh Physician Practices, LLC (NPI 1710046073, Douglas, GA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1407219314) · Data from the CMS NPPES public registry.