Active NPI
Cortni McCall
- Psychiatric/Mental Health Nurse Practitioner
- Alamo, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 37374
- Practice address
- 580 W Main St
Alamo, TN 38001-1545 - Phone
- (731) 394-1145
- NPI assigned
- Aug 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 37374 | TN | Primary |
| Community Health Registered Nurse | 163WC1500X | 228171 | TN |
Addresses
Primary practice location
580 W Main St
Alamo, TN 38001-1545
Mailing address
2835 Republican Grove Rd
Atwood, TN 38220-4203
Phone (731) 487-2848
Other practice location 1
1632 Highway 45 Byp
Humboldt, TN 38343-6697
Phone (731) 394-1145
Other practice location 2
213 Herndon Dr
Bells, TN 38006-3654
Phone (731) 394-1145
Other practice location 3
150 Oak Manor Rd
Mc Kenzie, TN 38201-8846
Phone (731) 394-1145
Other practice location 4
220 College St
Puryear, TN 38251-6441
Phone (731) 394-1145
Other practice location 5
1124 N Main St
Dyer, TN 38330-1033
Phone (731) 394-1145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
366 S Washington St
Clinton, KY 42031-1324
Phone (731) 394-1145
4128 Old Jackson Rd
Bells, TN 38006-4261
Phone (731) 394-1145
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228171 | TN | MD | Community Health Registered Nurse |
| 37374 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultra Health LLC | Current | Accepting new patients |
Locations
366 S Washington St
Clinton, KY 42031
Phone (270) 653-2461
1124 N Main St
Dyer, TN 38330
Phone (731) 692-4545
14510 Highway 79
Mc Kenzie, TN 38201
Phone (731) 352-5317
Interoperability endpoints
- https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1033956057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1417504010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 REPUBLICAN GROVE RD",
"city": "ATWOOD",
"state": "TN",
"postal_code": "382204203",
"telephone_number": "731-487-2848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 W MAIN ST",
"city": "ALAMO",
"state": "TN",
"postal_code": "380011545",
"telephone_number": "731-394-1145"
}
],
"practiceLocations": [
{
"address_1": "1632 Highway 45 Byp",
"address_purpose": "LOCATION",
"city": "Humboldt",
"state": "TN",
"postal_code": "383436697",
"country_code": "US",
"telephone_number": "731-394-1145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "213 Herndon Dr",
"address_purpose": "LOCATION",
"city": "Bells",
"state": "TN",
"postal_code": "380063654",
"country_code": "US",
"telephone_number": "731-394-1145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 Oak Manor Rd",
"address_purpose": "LOCATION",
"city": "Mc Kenzie",
"state": "TN",
"postal_code": "382018846",
"country_code": "US",
"telephone_number": "731-394-1145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "220 College St",
"address_purpose": "LOCATION",
"city": "Puryear",
"state": "TN",
"postal_code": "382516441",
"country_code": "US",
"telephone_number": "731-394-1145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1124 N Main St",
"address_purpose": "LOCATION",
"city": "Dyer",
"state": "TN",
"postal_code": "383301033",
"country_code": "US",
"telephone_number": "731-394-1145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCALL",
"first_name": "CORTNI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-20",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "37374",
"primary": true
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "TN",
"license": "228171",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alamo, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.