Active NPI
Corey David McNeilly, MD
- Emergency Medicine Physician
- Lexington, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 65124
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.uthsc.edu/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NC, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLCVidant Medical Group LLCOuter Banks Professional Services, LLCHardin Emergency Group LLC
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
- Vidant Chowan Hospital
- Hardin Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 65124 | TN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Lexington Hospital Corporation | Emergency Medicine | Current | Accepting new patients |
| Lexington Family Physicians LLC | Family Medicine | Current | Accepting new patients |
| Lexington Clinic Corp | Emergency Medicine | Current | Accepting new patients |
| App of Tennessee Ed, PLLC | Emergency Medicine | Current | Accepting new patients |
| East Carolina Health-Bertie | Current | Accepting new patients | |
| East Carolina Health-Bertie | Emergency Medicine | Current | Accepting new patients |
| Shamrock Community Hospital Inc | Emergency Medicine | Current | Accepting new patients |
| Middle Tennessee Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Outer Banks Professional Services, LLC | Family Medicine | Current | Accepting new patients |
| Haywood County Community Hospital Inc | Current | Accepting new patients | |
| Lexington Hospital Corporation | Current | Accepting new patients | |
| Haywood County Community Hospital, Inc | Emergency Medicine | Current | Accepting new patients |
| Hardin Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Shamrock Community Hospital Inc. | Current | Accepting new patients | |
| Southeast Missouri Hospital Physicians, LLC | Family Medicine | Current | 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 | Past | 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
- 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.
-
- Emergency Medicine Physician
- Savannah, TN
- NPI 1972850477
Emergency Medicine, TN
-
- Multi-Specialty Clinic/Center
- Nags Head, NC
- NPI 1891050357
Family Medicine, NC
-
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1558311522
Family Medicine, MO
-
- Emergency Medicine Physician
- Maryville, TN
- NPI 1003230236
Emergency Medicine, TN
-
- Emergency Medicine Physician
- Brownsville, TN
- NPI 1790444933
Emergency Medicine, TN
-
- Family Medicine Physician
- Lexington, TN
- NPI 1265660708
Family Medicine, TN
-
- Emergency Medicine Physician
- Lexington, TN
- NPI 1083809669
Emergency Medicine, TN
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1194758979
Emergency Medicine, TN
-
- Family Medicine Physician
- Erin, TN
- NPI 1033878277
Emergency Medicine, TN
-
- Rural Health Clinic/Center
- Windsor, NC
- NPI 1578541660
Emergency Medicine, NC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.