Johnny Michael McCormick, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

D34444 Issued in TN

Practice address

1001 McArthur Street
United Regional Medical Center
Manchester, TN 37355

Phone

(931) 728-3586

Fax

(931) 728-6877

NPI assigned

Aug 18, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Anesthesia Care of Tullahoma, P.C.

  • Anesthesiology Physician
  • Tullahoma, TN
  • NPI 1902849607

  Nurse Anesthetist, Certified Registered

  NPD (past)
• James R. Nunley D.O., P.C.

  • Interventional Pain Medicine Physician
  • Manchester, TN
  • NPI 1033130208
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376657270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 AMHERST DRIVE",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "37388",
            "telephone_number": "931-393-3515",
            "fax_number": "931-728-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MCARTHUR STREET",
            "address_2": "UNITED REGIONAL MEDICAL CENTER",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "37355",
            "telephone_number": "931-728-3586",
            "fax_number": "931-728-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "JOHNNY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "D34444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3250236",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4085915",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Anne Douglass Martin, LCSW
• Kristi Dawn Mason Davenport, PTA
• Kimberly D. Mathis, NP
• Matthew Nichols DDS Oral and Facial Surgery PLLC
• Wendell McAbee, M.D.
• William Bradley McCrary, PA-C
• Donna Dee McDevitt
• Sarah Marcrom McKamey
• Brad Measells, PHARMD
• Med Stat EMS

• Certified Registered Nurse Anesthetist in Manchester, TN
• Providers in Manchester, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.