Active NPI
Kerri Ann McCabe Smith, PA
- Medical Physician Assistant
- Paris, TN
National Provider Identifier
1346247186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1208
- Practice address
- 1015 Kelley Dr
Suite 200
Paris, TN 38242-5819 - Phone
- (731) 644-2271
- Fax
- (731) 644-3980
- NPI assigned
- Jul 7, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1208 | TN | Primary |
Addresses
Primary practice location
1015 Kelley Dr
Suite 200
Paris, TN 38242-5819
Mailing address
1015 Kelley Dr
Suite 200
Paris, TN 38242-5819
Phone (731) 644-2271
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346247186 | Other | TN | NPI |
| 1124048541 | Other | TN | GROUP NPI |
| 4102404 | Other | TN | BCBSTN |
| 3663101 | Medicaid | TN | |
| 4102410 | Other | TN | BCBSTN |
Other names 1
- Miss Kerri Ann McCabe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1208 | TN | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377648000000",
"number": "1346247186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 KELLEY DR",
"address_2": "SUITE 200",
"city": "PARIS",
"state": "TN",
"postal_code": "382425819",
"telephone_number": "731-644-2271",
"fax_number": "731-644-3980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 KELLEY DR",
"address_2": "SUITE 200",
"city": "PARIS",
"state": "TN",
"postal_code": "382425819",
"telephone_number": "731-644-2271",
"fax_number": "731-644-3980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCABE SMITH",
"first_name": "KERRI",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2013-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "1208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1346247186",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1124048541",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTN",
"identifier": "4102404",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3663101",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTN",
"identifier": "4102410",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KERRI",
"last_name": "MCCABE",
"middle_name": "ANN",
"prefix": "MISS",
"credential": "P.A.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Paris, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.