Individual provider Active NPI

Corey David McNeilly, MD

  • Emergency Medicine Physician
  • Lexington, TN
National Provider Identifier
1316567191
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
65124 Issued in TN
Practice address
200 W Church St
Lexington, TN 38351-2038
Phone
(731) 968-3646
NPI assigned
Apr 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 65124 TN
Emergency Medicine Physician 207P00000X 2024038765 MO
Pediatrics Physician 208000000X 65124 TN
Physical Medicine & Rehabilitation Physician 208100000X 65124 TN
Emergency Medicine Physician 207P00000X 65124 TN Primary
Diagnostic Radiology Physician 2085R0202X 65124 TN
Family Medicine Physician 207Q00000X 65124 TN
Internal Medicine Physician 207R00000X 65124 TN
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

200 W Church St
Lexington, TN 38351-2038

Mailing address

1840 Medical Center Pkwy Ste 403
Murfreesboro, TN 37129-3237
Phone (615) 396-6449

Other practice location 1

270 W Church St Ste A
Lexington, TN 38351-2077
Phone (731) 968-3646

Other practice location 2

2545 N Washington Ave
Brownsville, TN 38012-1687
Phone (312) 894-2119

Other practice location 3

920 Madison Ave Ste 447
Memphis, TN 38103-3438
Phone (615) 396-6449

Other practice location 4

525 Branson Landing Blvd
Branson, MO 65616-2052
Phone (417) 875-2627

Other practice location 5

5001 E Main St
Erin, TN 37061-4115
Phone (931) 289-4211

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.uthsc.edu/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC, MO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220513001763 TN Practitioner - Emergency Medicine 7719308931 Reassigns benefits to 8 organizations
I20230627000576 NC Practitioner - Emergency Medicine 7719308931 Reassigns benefits to 3 organizations
I20241214000267 MO Practitioner - Emergency Medicine 7719308931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Missouri Hospital Physicians LLC 206 clinicians
Vidant Medical Group LLC 986 clinicians
Outer Banks Professional Services, LLC 163 clinicians
Hardin Emergency Group LLC 8 clinicians

Practice addresses (Care Compare)

1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 334-4822

211 Virginia Rd
Edenton, NC 27932-9668
Phone (252) 482-6219

4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone (252) 449-4500

935 Wayne Rd
Savannah, TN 38372-1904
Phone (731) 926-8000

Hospital & facility affiliations

  • Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110
  • Vidant Chowan Hospital Hospital, Edenton, NC, CCN 341318
  • Hardin Medical Center Hospital, Savannah, TN, CCN 440109

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65124TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince May 18, 2023 Accepting new patients
Lexington Hospital Corporation Emergency Medicine CurrentSince Sep 17, 2023 Accepting new patients
Lexington Family Physicians LLC Family Medicine CurrentSince Oct 15, 2022 Accepting new patients
Lexington Clinic Corp Emergency Medicine CurrentSince Aug 30, 2022 Accepting new patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince May 6, 2022 Accepting new patients
East Carolina Health-Bertie CurrentSince May 18, 2023 Accepting new patients
East Carolina Health-Bertie Emergency Medicine CurrentSince May 18, 2023 Accepting new patients
Shamrock Community Hospital Inc Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Middle Tennessee Emergency Physicians PC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Outer Banks Professional Services, LLC Family Medicine CurrentSince May 18, 2023 Accepting new patients
Haywood County Community Hospital Inc CurrentSince Oct 15, 2022 Accepting new patients
Lexington Hospital Corporation CurrentSince Sep 17, 2023 Accepting new patients
Haywood County Community Hospital, Inc Emergency Medicine CurrentSince Oct 15, 2022 Accepting new patients
Hardin Emergency Group LLC Emergency Medicine CurrentSince Aug 6, 2025 Accepting new patients
Shamrock Community Hospital Inc. CurrentSince Aug 1, 2022 Accepting new patients
Southeast Missouri Hospital Physicians, LLC Family Medicine CurrentSince Nov 20, 2024 Accepting new patients
Lexington Hospital Corporation Past Accepting new patients
Lexington Hospital Corporation Emergency Medicine Past Accepting new patients
Saint Thomas Medical Partners Family Medicine PastSince Apr 26, 2020 Accepting new patients
Lexington Hospital Corporation Past Accepting new patients

Locations

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

4800 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 449-4500

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

1403 S King St
Windsor, NC 27983
Phone (252) 794-6685

2545 N Washington Ave
Brownsville, TN 38012
Phone (731) 307-3777

2545 N Washington Ave
Ste 2
Brownsville, TN 38012

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

5001 E Main St
Erin, TN 37061
Phone (336) 944-6420

200 W Church St
Lexington, TN 38351
Phone (731) 968-1812

270 W Church St
Ste A
Lexington, TN 38351
Phone (731) 968-0133

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

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

935 Wayne Rd
Savannah, TN 38372
Phone (731) 925-4954

520 W Main St
Smithville, TN 37166
Phone (615) 215-5000

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/henders-823c208a

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 3

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": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1316567191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 MEDICAL CENTER PKWY STE 403",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293237",
            "telephone_number": "615-396-6449",
            "fax_number": "615-396-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W CHURCH ST",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383512038",
            "telephone_number": "731-968-3646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 W Church St Ste A",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "TN",
            "postal_code": "383512077",
            "country_code": "US",
            "telephone_number": "731-968-3646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2545 N Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TN",
            "postal_code": "380121687",
            "country_code": "US",
            "telephone_number": "312-894-2119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 Madison Ave Ste 447",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381033438",
            "country_code": "US",
            "telephone_number": "615-396-6449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Branson Landing Blvd",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162052",
            "country_code": "US",
            "telephone_number": "417-875-2627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5001 E Main St",
            "address_purpose": "LOCATION",
            "city": "Erin",
            "state": "TN",
            "postal_code": "370614115",
            "country_code": "US",
            "telephone_number": "931-289-4211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEILLY",
        "first_name": "COREY",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-21",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "65124",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2024038765",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "65124",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "65124",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "65124",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "65124",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "65124",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "65124",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.uthsc.edu/",
            "affiliation": "N",
            "address_1": "920 Madison Ave Ste 447",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381033438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, TN

Sources for this page

Verify at the official NPI Registry.