Individual provider Active NPI

Alan N McCartt, M.D.

  • Ophthalmology Physician
  • Johnson City, TN
National Provider Identifier
1285682831
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD14831 Issued in TN
Practice address
110 Med Tech Pkwy
Suite 1
Johnson City, TN 37604-4004
Phone
(423) 929-2111
Fax
(423) 929-0497
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD14831 TN Primary

Addresses

Primary practice location

110 Med Tech Pkwy
Suite 1
Johnson City, TN 37604-4004

Mailing address

110 Med Tech Pkwy
Suite 1
Johnson City, TN 37604-4004
Phone (423) 929-2111

Other identifiers 3

IdentifierTypeStateIssuer
180016464OtherTNRAILROAD MEDICARE
180042589OtherTNRAILROAD MEDICARE
3003718MedicaidTN

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
I20100427000006 TN Practitioner - Ophthalmology 0345133187 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14831TNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson City Eye Clinic PC Ophthalmology CurrentSince Jul 1, 1987 Accepting new patients

Locations

225 Midway Medical Park
Bristol, TN 37620
Phone (423) 797-4555

321 Midway Medical Park
Bristol, TN 37620
Phone 42392921110

110 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 722-0340

110 Med Tech Pkwy
Ste 1
Johnson City, TN 37604
Phone 42372203603507

222 E Unaka Ave
Johnson City, TN 37601

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1285682831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MED TECH PKWY",
            "address_2": "SUITE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044004",
            "telephone_number": "423-929-2111",
            "fax_number": "423-929-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MED TECH PKWY",
            "address_2": "SUITE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044004",
            "telephone_number": "423-929-2111",
            "fax_number": "423-929-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTT",
        "first_name": "ALAN",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD14831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180016464",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180042589",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3003718",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.