EDYN MCKINNON – Psychiatric/Mental Health Nurse Practitioner, NPI 1235595604
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for EDYN MCKINNON
408 Shirley Ave
Douglas, GA 315332002
Phone: (912) 592-3152
Type: Location
1101 ocilla rd
douglas, GA 31533
Phone: (912) 384-1900
Type: Location
3950 GA HIGHWAY 64 E
AXSON, GA 316242032
Phone: (912) 592-3152
Fax: (628) 246-8299
Type: Location
Coffee Regional Medical Center, 1101, Ocilla Road, Douglas, Coffee County, Georgia, 31533, United States
DOUGLAS, GA 31533
Phone: (912) 384-1900
Type: Location
408 SHIRLEY AVE
DOUGLAS, GA 315332002
Phone: (912) 592-3152
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $120.
Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.
Last reported payment date: 2024-07-16 • Largest payer in this snapshot: Alkermes, Inc. ($120).
Total Amount
$120
General + Research + Ownership
Payments
1
Total payment records
General Amount
$120
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $120 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-05-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160518001067 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 38 | 28 | $0 |
| Q3014 | Telehealth originating site facility fee | 29 | 21 | $0 |
Insurance plans in this area (ZIP 31533)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | GA | 90792 | Psychiatric diagnostic evaluation with medical services | 26 | 26 |
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