McMinnville Medical Associates PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MCMINNVILLE MEDICAL ASSOCIATES PLLC

Practice address

1514 Sparta St
MC Minnville, TN 37110-1317

Phone

(931) 473-8400

Fax

(931) 473-0620

NPI assigned

Aug 31, 2006

Last updated

Nov 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Harry E Burck Jr., M.D.NPI 1629064738

Title

Gen PTR

Phone

(931) 473-8400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Jenkins, NP

  • Family Nurse Practitioner
  • McMinnville, TN
  • NPI 1124373857
  Medicare reassignment Care Compare group NPD
• Lacey L Jones, FNP

  • Family Nurse Practitioner
  • McMinnville, TN
  • NPI 1417236571
  Medicare reassignment Care Compare group NPD
• Shauna Samuel, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • McMinnville, TN
  • NPI 1053898163
  Medicare reassignment Care Compare group NPD
• Michael T. Stewart, MD

  • Family Medicine Physician
  • McMinnville, TN
  • NPI 1184611493
  Medicare reassignment Care Compare group NPD
• Philip Stewart, FNP-BC

  • Family Nurse Practitioner
  • McMinnville, TN
  • NPI 1053264382
  Medicare reassignment Care Compare group NPD
• Harry E. Burck Jr., MD

  • Internal Medicine Physician
  • McMinnville, TN
  • NPI 1629064738
  Authorized official Same address or phone

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1104937267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 SPARTA ST",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371101317",
            "telephone_number": "931-473-8400",
            "fax_number": "931-473-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 SPARTA ST",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371101317",
            "telephone_number": "931-473-8400",
            "fax_number": "931-473-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMINNVILLE MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "BURCK",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "GEN PTR",
        "authorized_official_telephone_number": "931-473-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin McMahan, PHARMD
• McMinnville Boarding Home for the Elderly
• McMinnville Drug Center Inc (McMinnville Drug Center)
• McMinnville Emergency Services LLC
• McMinnville Manor Opco LLC
• McMinnville Medical Care Center LLC (McMinnville Medical Care)
• McMinnville Pain Relief Center
• McMinnville Physical Therapy, LLC
• McMinnville Recovery Center (A.M.C. of McMinnville)
• McMinnville Residential, LLC (Riverview Terrace)

• Internal Medicine Physician in McMinnville, TN
• Providers in McMinnville, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.