Individual provider Active NPI

Tarrant Mehcole McCarley, FNP

  • Family Nurse Practitioner
  • Wartburg, TN
National Provider Identifier
1164766937
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000017179 Issued in TN
Practice address
224 Old Mill Rd
Wartburg, TN 37887-4163
Phone
(423) 346-6221
Fax
(423) 346-5565
NPI assigned
Nov 19, 2012
Last updated
Nov 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000017179 TN Primary

Addresses

Primary practice location

224 Old Mill Rd
Wartburg, TN 37887-4163

Mailing address

224 Old Mill Rd
Wartburg, TN 37887-4163
Phone (423) 346-6221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130218000440 TN Practitioner - Nurse Practitioner 0941454136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morgan County Health Council IncGroup PAC ID 6800865908, 9 clinicians

Practice addresses (Care Compare)

224 Old Mill Rd
Wartburg, TN 37887-4163
Phone (423) 346-6221

PO Box
Suite 408
Wartburg, TN 37887

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000017179TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan County Health Council Inc CurrentSince Nov 30, 2012 Accepting new patients

Locations

224 Old Mill Rd
Wartburg, TN 37887
Phone (423) 346-6221

Organizations & group practices 1

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 2

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": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1164766937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 OLD MILL RD",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378874163",
            "telephone_number": "423-346-6221",
            "fax_number": "423-346-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 OLD MILL RD",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378874163",
            "telephone_number": "423-346-6221",
            "fax_number": "423-346-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARLEY",
        "first_name": "TARRANT",
        "middle_name": "MEHCOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000017179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wartburg, TN

Sources for this page

Verify at the official NPI Registry.