Individual provider Active NPI

Tommy Virgil McCluskey, CRNP

  • Family Nurse Practitioner
  • Rogersville, AL
National Provider Identifier
1346711082
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-134865 Issued in AL
Practice address
16023 Highway 72
Rogersville, AL 35652-8141
Phone
(256) 247-0093
NPI assigned
Dec 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-134865 AL Primary

Addresses

Primary practice location

16023 Highway 72
Rogersville, AL 35652-8141

Mailing address

16023 Highway 72
Rogersville, AL 35652-8141
Phone (256) 247-0093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20190201000760 AL Practitioner - Nurse Practitioner 6204173081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rogersville Family CareGroup PAC ID 9234364191, 3 clinicians

Practice addresses (Care Compare)

16053 Hwy 72
Rogersville, AL 35652-8141
Phone (256) 247-0093

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-134865ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rogersville Family Care CurrentSince Dec 1, 2018 Accepting new patients
Charles Anthony Gaputis PastSince Dec 1, 2018 Accepting new patients

Locations

16053 Highway 72
Rogersville, AL 35652
Phone (256) 247-0093

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1346711082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16023 HIGHWAY 72",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "356528141",
            "telephone_number": "256-247-0093",
            "fax_number": "256-247-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16023 HIGHWAY 72",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "356528141",
            "telephone_number": "256-247-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLUSKEY",
        "first_name": "TOMMY",
        "middle_name": "VIRGIL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-134865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogersville, AL

Sources for this page

Verify at the official NPI Registry.