MCKINNEY COMMUNITY HEALTH CENTER
NPI 1801057690
Clinic/Center - Federally Qualified Health Center (FQHC) in Folkston, GA

Active since June 24, 2008CLIA 11D0993808 · Waiver
3919 MAIN ST, FOLKSTON, GA 31537(912) 496-3426(912) 287-1568 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mckinney Community Health Center NPPES

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

MCKINNEY COMMUNITY HEALTH CENTER (NPI 1801057690) is a healthcare organization registered as a federally qualified health center (fqhc) in Folkston, Georgia and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through May 7, 2028 and lists Ola Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801057690
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMCKINNEY MEDICAL CENTER INC
Location Address3919 MAIN STFolkston, GA 31537-7545
Mailing Address218 Quarterman StWaycross, GA 31501-3547 · (912) 287-0301 · Fax (912) 287-0687
Fax(912) 287-1568
Organization SubpartYes
Authorized OfficialOla SmithCeo · (912) 287-0301
Enumeration DateJune 24, 2008
Last NPPES UpdateJune 5, 2019
✔ NPI 1801057690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in GA · 111908
3919 MAIN ST, Folkston, GA 31537

Other Names 1

Doing Business AsMckinney Community Health Center

Other Identifiers 3

Other10066125GA · Amerigroup
Medicaid000715415EGA
Other336243GA · Wellcare

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)

Mckinney Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Mckinney Community Health Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 7

Nurse Practitioner9
Family Practice4
Pediatric Medicine2
Clinical Social Worker1
Dentist1
Oral Surgery1
Physician Assistant1

Clinicians, nearest first (19)

Nurse Practitioner
NPI 1700341518
3919 MAIN ST
Folkston, GA 31537
(912) 496-3426
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1407486954
3919 MAIN ST
Folkston, GA 31537
(912) 496-3426
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1447209937
711 CHARLES GILMAN JR AVE STE B
Kingsland, GA 31548
(912) 510-9728
✔ PECOS22 mi
Nurse Practitioner
NPI 1235966524
1701 BOULEVARD SQ
Waycross, GA 31501
(912) 387-0445
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1346668407
218 QUARTERMAN ST
Waycross, GA 31501
(912) 287-9140
✔ PECOS✔ Accepts Medicare34 mi
Family Practice
NPI 1508391970
218 QUARTERMAN ST
Waycross, GA 31501
(912) 287-9140
✔ PECOS✔ Accepts Medicare34 mi
Dentist
NPI 1265222517
218 QUARTERMAN ST
Waycross, GA 31501
(912) 287-9140
✔ PECOS34 mi
Nurse Practitioner
NPI 1356130553
218 QUARTERMAN ST
Waycross, GA 31501
(912) 287-9140
✔ PECOS✔ Accepts Medicare34 mi
Clinical Social Worker
NPI 1972649374
1007 MARY ST
Waycross, GA 31503
(912) 285-6142
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1891460606
1007 MARY ST
Waycross, GA 31503
(912) 449-7214
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1851869150
1900 TEBEAU ST
Waycross, GA 31501
(912) 283-3030
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1245598523
505 CITY BLVD
Waycross, GA 31501
(912) 490-2229
✔ PECOS✔ Accepts Medicare34 mi
Oral Surgery
NPI 1578701157
501 N PIERCE ST
Alma, GA 31510
(912) 632-0872
✔ PECOS56 mi
Nurse Practitioner
NPI 1093426439
162 E JARMAN ST
Hazlehurst, GA 31539
(912) 209-0239
✔ PECOS79 mi
Family Practice
NPI 1942363130
106 E BROAD ST
Savannah, GA 31401
(912) 527-1000
✔ PECOS✔ Accepts Medicare102 mi
Family Practice
NPI 1679924252
1120 15TH ST
Augusta, GA 30912
(305) 924-3580
✔ PECOS182 mi
Pediatric Medicine
NPI 1861827891
4905 COURTNEY DR
Forest Park, GA 30297
(404) 366-3636
✔ PECOS236 mi
Physician Assistant
NPI 1114939048
1460A 2ND AVE SW
Jacksonville, AL 36265
(256) 435-2180
✔ PECOS300 mi
Family Practice
NPI 1326735531
1806 W LINCOLN AVE
Yakima, WA 98902
(509) 452-4520
✔ PECOS✔ Accepts Medicare2,318 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 11D0993808

Mckinney Medical Center, Inc · Folkston, GA
Active · expires May 7, 2028
CLIA Number11D0993808
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 8, 2026
Certificate Expiration DateMay 7, 2028
Laboratory DirectorDr. Brittany Lawson
Laboratory Phone(912) 496-3426
Laboratory LocationMckinney Medical Center, Inc3919 Main Street, Folkston, GA 31537
CLIA data matches this NPI record on: Address 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 Mckinney Medical Center Inc's NPI number?

The NPI number for Mckinney Medical Center Inc is 1801057690. It was assigned to this organization in the NPPES registry on June 24, 2008. The provider is doing business as Mckinney Community Health Center.

Where is Mckinney Medical Center Inc located?

Mckinney Medical Center Inc is located at 3919 Main St, Folkston, GA 31537. The listed phone number is (912) 496-3426.

What is Mckinney Medical Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Mckinney Medical Center Inc enrolled in Medicare?

Yes. Mckinney Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mckinney Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 7 Medicare specialties reassign their Medicare billing to Mckinney Medical Center 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. The largest specialties are Nurse Practitioner (9), Family Practice (4) and Pediatric Medicine (2). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mckinney Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0993808) is associated with this NPI, valid through May 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mckinney Medical Center Inc 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 Mckinney Medical Center 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 Mckinney Medical Center Inc was last updated on June 5, 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.