Individual provider Active NPI

John Patrick McCormack, M.D.

  • Emergency Medicine Physician
  • Dickson, TN
National Provider Identifier
1275624470
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
66206 Issued in TN
Practice address
111 Highway 70 E
Dickson, TN 37055-2080
Phone
(615) 326-2617
NPI assigned
Sep 27, 2006
Last updated
Sep 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 241913 NY
Emergency Medicine Physician 207P00000X 66206 TN Primary
Family Medicine Physician 207Q00000X 241913 NY

Addresses

Primary practice location

111 Highway 70 E
Dickson, TN 37055-2080

Mailing address

5380 Tech Data Dr Ste 202
Clearwater, FL 33760-3122
Phone (727) 507-3609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070425000111 NY Practitioner - Emergency MedicinePractitioner - Family Practice 6204931942 Reassigns benefits to 1 organization
I20220916001156 TN Practitioner - Emergency Medicine 6204931942 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Putnam Emergency Physicians PLLCGroup PAC ID 3779946488, 34 clinicians
Methodist South Emergency Physicians, PLLCGroup PAC ID 6406205608, 48 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Methodist North Emergency Physicians, PLLCGroup PAC ID 0941659247, 43 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Blvd
Cookeville, TN 38501-4294
Phone (931) 528-2541

1300 Wesley Dr
Memphis, TN 38116-6426
Phone (901) 516-3700

150 Broad St
Hamilton, NY 13346-9575
Phone (315) 824-1100

1607 S Locust Ave Hwy 43
Lawrenceburg, TN 38464-4011
Phone (931) 762-6571

3960 New Covington Pike
Memphis, TN 38128-2504
Phone (901) 516-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66206TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Dec 2, 2022 Accepting new patients
Methodist University Emergency Physicians PLLC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jul 22, 2025 Accepting new patients
Germantown Emergency Physicians, PLLC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Carr PLLC Emergency Medicine CurrentSince May 16, 2023 Accepting new patients
Methodist South Emergency Physicians, PLLC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Methodist North Emergency Physicians, PLLC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Medical Services of Suffolk County PC Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients
Putnam Emergency Physicians, PLLC Emergency Medicine CurrentSince Jan 24, 2024 Accepting new patients
T M Carr MD PC Emergency Medicine CurrentSince May 16, 2023 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine Past Accepting new patients

Locations

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

107 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

Interoperability endpoints

  • Direct secure messaging: jmccormack27538@mlh.direct-ci.com
  • Direct secure messaging: jmccormack468511@direct.uvmhealth.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1275624470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 TECH DATA DR STE 202",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603122",
            "telephone_number": "727-507-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HIGHWAY 70 E",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552080",
            "telephone_number": "615-326-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "241913",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "66206",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "241913",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

Verify at the official NPI Registry.