NPIMap

Individual provider Active NPI

William Neil McKee, MD

  • Pulmonary Disease Physician
  • Dyersburg, TN
National Provider Identifier
1104810704
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
20151 Issued in TN
Practice address
1700 Woodlawn Ave
Dyersburg, TN 38024-2028
Phone
(731) 287-4500
Fax
(731) 287-4804
NPI assigned
Sep 9, 2005
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD020151 TN
Pulmonary Disease Physician 207RP1001X 20151 TN Primary

Addresses

Primary practice location

1700 Woodlawn Ave
Dyersburg, TN 38024-2028

Mailing address

1629 Woodlawn Ave
Dyersburg, TN 38024-2025
Phone (731) 287-4500

Other identifiers 8

IdentifierTypeStateIssuer
110085870OtherPALMETTO GBA
118135OtherBETTER HEALTH PLAN
8142OtherTLC MEMPHIS MANAGED CARE
2010140OtherCIGNA
4662360OtherAETNA
0440786OtherUNITED HEALTHCARE
3074060MedicaidTN
3146535OtherTNBL CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050202000193 TN Practitioner - Internal MedicinePractitioner - Pulmonary Disease 4183687130 Reassigns benefits to 1 organization
I20240426002741 MO Practitioner - Internal MedicinePractitioner - Pulmonary Disease 4183687130

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
University of Tennessee, HSC, College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WT Medical AssociatesGroup PAC ID 1951650613, 64 clinicians

Practice addresses (Care Compare)

1629 Woodlawn Ave
Dyersburg, TN 38024-2025
Phone (731) 288-7250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as apm
Quality
85.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD020151TNMDInternal Medicine Physician
20151TNMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WT Medical Associates Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients
WT Medical Associates CurrentSince Jun 1, 2018 Accepting new patients
WT Regional Medical Associates Current Accepting new patients
Impact Health Services, PLLC Internal Medicine Current Accepting new patients
Dyersburg Clinic Corp Past Accepting new patients
First Choice Medical Care PLLC Internal Medicine PastSince Sep 20, 2024 Accepting new patients
Independent Radiology Associates PLC Past Accepting new patients

Locations

900 Washington Ave
Caruthersville, MO 63830
Phone (573) 922-8096

108 W 15th St
Caruthersvlle, MO 63830
Phone (573) 333-0033

1629 Woodlawn Ave
Dyersburg, TN 38024
Phone (731) 285-7311

420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133

101 Jackson Walk Plz
Jackson, TN 38301
Phone (731) 421-6950

1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16508/brand/1/csg/1/fhir/r4
  • Direct secure messaging: wmckee17944@directepic.wth.org

Organizations & group practices 7

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1104810704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 WOODLAWN AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242025",
            "telephone_number": "731-287-4500",
            "fax_number": "731-287-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WOODLAWN AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242028",
            "telephone_number": "731-287-4500",
            "fax_number": "731-287-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "WILLIAM",
        "middle_name": "NEIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD020151",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "20151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "110085870",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BETTER HEALTH PLAN",
            "identifier": "118135",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC MEMPHIS MANAGED CARE",
            "identifier": "8142",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2010140",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4662360",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0440786",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074060",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BL CROSS",
            "identifier": "3146535",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

Verify at the official NPI Registry.