Tammi Lynn McCoy, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601003085 Issued in MI

Practice address

410 N Willowbrook Rd
Coldwater, MI 49036-9462

Phone

(517) 279-9599

Fax

(517) 279-1679

NPI assigned

May 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cameron Memorial Community Hospital IncGroup PAC ID 9234020835, 83 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cameron Health Hospital, Angola, IN, CCN 151315

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tmccoy84473@direct.parkviewexchange.com

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.

• Cameron Memorial Community Hospital, Inc.

  • Critical Access Hospital
  • Angola, IN
  • NPI 1386683316
  Medicare reassignment Care Compare group NPD
• Cameron Memorial Community Hospital, Inc

  • Family Medicine Physician
  • Angola, IN
  • NPI 1770521478
  Medicare reassignment
• Cameron Memorial Community Hospital Inc

  • Rural Health Clinic/Center
  • Angola, IN
  • NPI 1326531179
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cameron Memorial Community Hospital, Inc.

  • Critical Access Hospital
  • Angola, IN
  • NPI 1386683316
  Care Compare affiliation

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1316996697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N WILLOWBROOK RD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490369462",
            "telephone_number": "517-279-9599",
            "fax_number": "517-279-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N WILLOWBROOK RD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490369462",
            "telephone_number": "517-279-9599",
            "fax_number": "517-279-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "TAMMI",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-06",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "970026806",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Kathleen Marvin, MS, RD
• Joan Adele Matejovsky, NP-C
• Kristin Maxeiner
• Mark D Mayer, MD
• Christina Renee McCarrell, O.D.
• Ty Alan Alexander McCuen, B.S., D.C.
• Jennifer Jay McCurdy
• Alaina McDougall
• Lexie Nicole McFarland
• Misty McIntyre

• Physician Assistant in Coldwater, MI
• Providers in Coldwater, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.

Verify at the official NPI Registry.