Individual provider Active NPI

Lisa M Cox, NP

  • Family Nurse Practitioner
  • Bartlett, TN
National Provider Identifier
1407953953
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6299 Issued in TN
Practice address
3021 Brunswick Rd Ste 1105
Bartlett, TN 38133-4198
Phone
(901) 726-3979
NPI assigned
Sep 19, 2006
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X APN000006299 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN0000006299 TN
Family Nurse Practitioner 363LF0000X 6299 TN Primary

Addresses

Primary practice location

3021 Brunswick Rd Ste 1105
Bartlett, TN 38133-4198

Mailing address

8836 Brunswick Farms Dr
Arlington, TN 38002-4354
Phone (901) 359-7181

Other identifiers 2

IdentifierTypeStateIssuer
3648838MedicaidTN
4102566OtherTNBCBS

Other names 1

  • Lisa Carol McCrory Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20050314000814 TN Practitioner - Nurse Practitioner 4385699206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adult and Adolescent Medicine Clinics PLLCGroup PAC ID 2163597378, 7 clinicians

Practice addresses (Care Compare)

3021 Brunswick Rd
RM 1105
Bartlett, TN 38133-4198
Phone (901) 726-3979

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN000006299TNMDAdult Psychiatric/Mental Health Registered Nurse
6299TNMDOccupational Therapist
APN0000006299TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adult and Adolescent Medicine Clinics PLLC CurrentSince Feb 1, 2024 Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
Memphis Psychiatric and Addiction Clinic, PC PastSince Dec 23, 1996 Accepting new patients
Randall J Moskovitz, MD PastSince Dec 2, 1994 Accepting new patients
Memphis Internists, LLC Past Accepting new patients
Delta Medical Services, LLC Past Accepting new patients
Psycare LLC PastSince Dec 1, 2018 Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1407953953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8836 BRUNSWICK FARMS DR",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380024354",
            "telephone_number": "901-359-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 BRUNSWICK RD STE 1105",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334198",
            "telephone_number": "901-726-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-19",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "TN",
            "license": "APN000006299",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN0000006299",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "6299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3648838",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4102566",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MCCRORY",
            "middle_name": "CAROL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.