Individual provider Active NPI

Timmy Lee McCoy Sr., FNP-C

  • Family Nurse Practitioner
  • Batesville, MS
National Provider Identifier
1427694231
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903673 Issued in MS
Practice address
303 Medical Center Dr
Batesville, MS 38606-8608
Phone
(662) 578-4357
NPI assigned
Nov 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903673 MS Primary

Addresses

Primary practice location

303 Medical Center Dr
Batesville, MS 38606-8608

Mailing address

303 Medical Center Dr
Batesville, MS 38606-8608
Phone (662) 578-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20200409002108 MS Practitioner - Nurse Practitioner 7517396708 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Panola Physician Group LLCGroup PAC ID 2668715624, 14 clinicians
Tri-Vista Rehab, Inc.Group PAC ID 0345390308, shared by 3 NPIs, 26 clinicians

Practice addresses (Care Compare)

255 Medical Ctr Dr
Batesville, MS 38606-8629
Phone (662) 563-2163

303 Medical Ctr Dr
Batesville, MS 38606-8608
Phone (662) 578-4357

3297 Hwy 51 S
Senatobia, MS 38668-2926
Phone (662) 366-6923

90 Clark Ave a
Tupelo, MS 38804-2801

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.87 of 100Reported as group
Quality
60.45
Promoting interoperability
77
Improvement activities
40
Cost
68.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903673MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Panola Physician Group, LLC Current Accepting new patients
Caffey Clinic LLC CurrentSince Nov 1, 2022 Accepting new patients
Panola Physician Group, LLC CurrentSince Aug 15, 2022 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Dec 31, 2019 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Dec 31, 2019 Accepting new patients

Locations

303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155

255 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-2163

3297 Highway 51 S
Senatobia, MS 38668
Phone (662) 366-6923

Interoperability endpoints

  • Direct secure messaging: timmy.mccoy.1@19675.direct.athenahealth.com
  • Direct secure messaging: timmy.mccoy.1@18921.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1427694231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MEDICAL CENTER DR",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386068608",
            "telephone_number": "662-578-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MEDICAL CENTER DR",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386068608",
            "telephone_number": "662-578-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "TIMMY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, MS

Sources for this page

Verify at the official NPI Registry.