Individual provider Active NPI

David R McCauley, MD

  • Family Medicine Physician
  • Fayetteville, TN
National Provider Identifier
1255309852
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD8672 Issued in TN
Practice address
207 Elk Ave S
Fayetteville, TN 37334-3051
Phone
(931) 433-2551
Fax
(931) 433-1142
NPI assigned
Mar 9, 2006
Last updated
Jun 29, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD8672 TN Primary

Addresses

Primary practice location

207 Elk Ave S
Fayetteville, TN 37334-3051

Mailing address

207 Elk Ave S
Fayetteville, TN 37334-3051
Phone (931) 433-2551

Other identifiers 1

IdentifierTypeStateIssuer
3159291MedicaidTN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915000105 TN Practitioner - Family Practice 6608991625

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD8672TNMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: davidmccauley@fmapc.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1255309852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 ELK AVE S",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343051",
            "telephone_number": "931-433-2551",
            "fax_number": "931-433-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 ELK AVE S",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343051",
            "telephone_number": "931-433-2551",
            "fax_number": "931-433-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAULEY",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD8672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3159291",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, TN

Sources for this page

Verify at the official NPI Registry.