Individual provider Active NPI

Carley Lee McCloskey, NP

  • Adult Health Nurse Practitioner
  • Hixson, TN
National Provider Identifier
1427386168
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
14562 Issued in TN
Practice address
2051 Hamill Rd
Ste 204
Hixson, TN 37343-4653
Phone
(423) 870-2450
Fax
(423) 877-5208
NPI assigned
Nov 18, 2009
Last updated
Mar 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 14562 TN Primary

Addresses

Primary practice location

2051 Hamill Rd
Ste 204
Hixson, TN 37343-4653

Mailing address

4976 Alpha LN
Hixson, TN 37343-5470
Phone (423) 308-0280

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
I20100302000255 TN Practitioner - Nurse Practitioner 2466597430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen V. Dreskin MD PCGroup PAC ID 2163491747, 8 clinicians

Practice addresses (Care Compare)

6130 Shallowford Rd
Suite 101
Chattanooga, TN 37421-7222
Phone (423) 664-4635

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen V Dreskin MD PC CurrentSince Jul 23, 2018 Accepting new patients
Stephen V. Dreskin MD PC CurrentSince Jul 23, 2018 Accepting new patients
Star Medical Group, LLC Past Accepting new patients

Locations

6130 Shallowford Rd
Ste 101
Chattanooga, TN 37421
Phone (423) 664-4635

2700 Westside Dr NW
Ste 306
Cleveland, TN 37312
Phone (423) 478-5093

1012 Executive Dr
Hixson, TN 37343
Phone (423) 664-4635

Interoperability endpoints

  • Direct secure messaging: carley.mccloskey.1@590.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1427386168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4976 ALPHA LN",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435470",
            "telephone_number": "423-308-0280",
            "fax_number": "423-308-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 HAMILL RD",
            "address_2": "STE 204",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434653",
            "telephone_number": "423-870-2450",
            "fax_number": "423-877-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOSKEY",
        "first_name": "CARLEY",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "14562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

Verify at the official NPI Registry.