Robert Walter Magee, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD011499 Issued in TN

Practice address

1950 Cook St
Suite F
Dyersburg, TN 38024-1899

Phone

(731) 882-1871

NPI assigned

Sep 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIAIDD

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.

• Keeton Clinic PLLC

  • Allergy & Immunology Physician
  • Sevierville, TN
  • NPI 1144539180
  NPD (past)
• Thrive Family Healthcare, PLLC

  • Family Medicine Physician
  • Ripley, TN
  • NPI 1336938059
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1376537977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 MELISSA LN",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242878",
            "telephone_number": "731-571-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 COOK ST",
            "address_2": "SUITE F",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241899",
            "telephone_number": "731-882-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGEE",
        "first_name": "ROBERT",
        "middle_name": "WALTER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD011499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4458883",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0140441",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BETTER HEALTH PLAN",
            "identifier": "116247",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC(MEMPHIS MANAGED CARE)",
            "identifier": "7153",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3803066",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "020085100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5347162",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "3038973",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lusk Chiropractic Health Center
• Kelly Pickens Lusk, D.C.
• Pamela Kate Maben-Reed
• Ravinder K Machra, MD
• Katherine Lisko Madden
• Ross E Maldonado, PT
• Thomas Earl Manning, O.D.
• Maple Ridge Manor, Inc
• Julie Markham, R.N.
• Kristen Nicole Massey, MSN, APRN, FNP-C

• Family Medicine Physician in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.