Katherine Lynn McCrotty, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4988 Issued in TN

Practice address

2805 W Governor John Sevier Hwy
Knoxville, TN 37920-5552

Phone

(865) 298-3558

NPI assigned

Apr 12, 2022

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

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cedar Recovery Center of Middle Tennessee, LLCGroup PAC ID 0446671440, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cedar Recovery Center of Middle Tennessee, LLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Columbia, TN
  • NPI 1801345285
  Medicare reassignment Care Compare group
• Cedar Recovery of Middle Tennessee, LLC

  • Clinic Pharmacy
  • Lebanon, TN
  • NPI 1497458111
  NPD

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1245972959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CROSSINGS CIR STE 103",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228591",
            "telephone_number": "615-680-0110",
            "fax_number": "615-549-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 W GOVERNOR JOHN SEVIER HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379205552",
            "telephone_number": "865-298-3558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 N High St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "384012734",
            "country_code": "US",
            "telephone_number": "931-548-8882",
            "fax_number": "931-223-8717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2839 Highway 231 N Ste 101",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "TN",
            "postal_code": "371607448",
            "country_code": "US",
            "telephone_number": "931-488-4014",
            "fax_number": "931-735-6885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 W Baddour Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370872595",
            "country_code": "US",
            "telephone_number": "615-994-1288",
            "fax_number": "615-547-4520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8712 Asheville Hwy",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379244501",
            "country_code": "US",
            "telephone_number": "865-932-3633",
            "fax_number": "865-932-3316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2636 N Mount Juliet Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Juliet",
            "state": "TN",
            "postal_code": "371228015",
            "country_code": "US",
            "telephone_number": "615-680-0110",
            "fax_number": "615-754-6213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCROTTY",
        "first_name": "KATHERINE",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Brush McCreary, FNP-BC
• Heather Noelle McCrillis
• Chelsea McCroskey, APRN
• Lauren McCroskey, FNP
• Lauren McCrossin, RN
• Nancy S McCubbins, BEHAVIOR TECHNICIAN
• Bobbie Lynn McCue, AU.D.
• Pamela McCuen
• Christy Weems McCullah, PA-C
• Cheryl D McCulloch

• Physician Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.