Teresa Gayle McCormick

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

104378 Issued in NC

Practice address

14215 Ballantyne Corporate PL Ste 210
Charlotte, NC 28277-3873

Phone

(704) 316-2650

NPI assigned

Mar 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CHS Anesthesia Services Group IncGroup PAC ID 5799007324, 742 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tmccormick190419@direct.novanthealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CHS Anesthesia Services Group Inc

  • Anesthesiology Physician
  • Charlotte, NC
  • NPI 1346649415
  Medicare reassignment Care Compare group NPD
• Gateway Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Concord, NC
  • NPI 1548401789

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• NMG Southpark Services, LLC

  • Certified Registered Nurse Anesthetist
  • Charlotte, NC
  • NPI 1952690109

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• The Charlotte-Mecklenburg Hospital Authority

  • Medical Oncology Physician
  • Indian Land, SC
  • NPI 1669738829

  NC

  Medicare reassignment NPD
• The Charlotte-Mecklenburg Hospital Authority

  • Certified Registered Nurse Anesthetist
  • Monroe, NC
  • NPI 1255405734

  Nurse Anesthetist, Certified Registered

  NPD
• The Charlotte-Mecklenburg Hospital Authority

  • Rehabilitation Hospital Unit
  • Charlotte, NC
  • NPI 1962987131
  NPD
• Carolinas Medical Center - University

  • Certified Registered Nurse Anesthetist
  • Charlotte, NC
  • NPI 1063586980

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Presbyterian Sameday Surgery Center at Ballantyne LLC

  • Ambulatory Surgical Clinic/Center
  • Charlotte, NC
  • NPI 1215061049
  NPD (past)
• The Charlotte-Mecklenburg Hospital Authority

  • General Practice Physician
  • Charlotte, NC
  • NPI 1477627388
  NPD (past)
• Elmwood Eye, P.C.

  • Ophthalmology Physician
  • York, PA
  • NPI 1104384130
  NPD (past)
• Hanover Anesthesiology and Pain Medicine, P.C.

  • Anesthesiology Physician
  • Hanover, PA
  • NPI 1164437612
  NPD (past)
• Strand Anesthesia, PC

  • Certified Registered Nurse Anesthetist
  • Myrtle Beach, SC
  • NPI 1851482368

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1093783722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 AIRPORT CENTER PKWY BLDG L",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085885",
            "telephone_number": "704-512-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14215 BALLANTYNE CORPORATE PL STE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773873",
            "telephone_number": "704-316-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "TERESA",
        "middle_name": "GAYLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "104378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TMCCORMICK190419@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "14215 Ballantyne Corporate Pl Ste 210",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282773873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine Grace McCorkle, RPH
• Juliet Gothelf McCormick
• Michael J. McCormick, P.A.-C.
• Paige Charlotte McCormick
• Richard McCormick, MD
• Yolanda M. McCormick, MS, LCMHC
• Lauren Mooneyhan McCotter, NNP-BC
• Brandon Travis McCoy, PA-C
• Breonna Marie McCoy
• Conley Rainier McCoy, RPH

• Certified Registered Nurse Anesthetist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.