John Patrick McCormick, FNP
Individual provider Active NPI Family Nurse Practitioner · Knoxville, TN
NPI 1376848812 · NPPES record last updated Jul 2, 2012
Key facts
- NPI
- 1376848812
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 15182 (TN)
- Practice address
- 2911 Essary Dr
Knoxville, TN 37918-2468 - Phone
- (865) 243-3754
- Fax
- (865) 243-2250
- NPI assigned
- Jan 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chuc, LLC
Practice addresses (Care Compare)
117 Gill St
Alcoa, TN 37701-2672
Phone (865) 982-3409
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120215000459 | TN | Practitioner - Nurse Practitioner | 8628236098 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15182 | TN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Velocity Medical LLC | Current |
Accepting new patients | |
| Chuc, LLC | Family | Current |
Accepting new patients |
| Quick Care Clinic | Current |
Accepting new patients | |
| Neighborhood Medical LLC | Past | Accepting new patients | |
| Abercrombie Radiological Consultants Inc | Past |
Accepting new patients |
Locations
117 Gill St
Alcoa, TN 37701
Phone (865) 982-3409
2702 Jacksboro Pike
Jacksboro, TN 37757
Phone (423) 201-9937
9221 Middlebrook Pike
Ste 102
Knoxville, TN 37931
Phone (865) 219-1989
9220 Dutchtown Rd
Ste 104
Knoxville, TN 37923
Phone (865) 530-2873
Interoperability endpoints
- https://api.platform.athenahealth.com/19304/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 15182 | TN | Yes |
Addresses
Primary practice location
2911 Essary Dr
Knoxville, TN 37918-2468
Mailing address
9221 Middlebrook Pike
Suite 102
Knoxvile, TN 37931
Phone (865) 539-2873
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1527269 | Medicaid | TN | |
| NONE | Other | NONE |
Other providers in Knoxville, TN
- Patrick Owen McConville
- Meg L McCord
- Michael Timothy McCormack
- Donna Suzanne McCormick
- Haley McCormick
- Sheryl K McCormick
- Amy J McCowan
- Judith Elaine McCoy-Salyer
- Angela Shepherd McCoy
- Barbara McCoy
All providers in Knoxville, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.