Individual provider Active NPI

Rachel McCoy Jayroe, NP

  • Pediatric Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1437574902
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
18322 Issued in TN
Practice address
6225 Humphreys Blvd
Memphis, TN 38120-2373
Phone
(901) 227-7830
NPI assigned
Feb 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 18322 TN
Pediatric Nurse Practitioner 363LP0200X 18322 TN Primary

Addresses

Primary practice location

6225 Humphreys Blvd
Memphis, TN 38120-2373

Mailing address

717 S Riverside Dr Apt 1103
Memphis, TN 38103-1738
Phone (731) 445-3510

Other practice location 1

6225 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 227-7337

Other names 1

  • Rachel Nicole McCoy 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
I20160120001111 TN Practitioner - Nurse Practitioner 3072835487 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care for Children, PLLC Nurse Practitioner CurrentSince Jul 1, 2022 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Nov 1, 2015 Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients

Locations

500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273

5215 Highway 153
Ste 105
Hixson, TN 37343
Phone (423) 664-1151

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1900 N Winston Rd
Ste 300
Knoxville, TN 37919
Phone (865) 271-6000

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437574902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 S RIVERSIDE DR APT 1103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381031738",
            "telephone_number": "731-445-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202373",
            "telephone_number": "901-227-7830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6225 Walnut Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38120",
            "country_code": "US",
            "telephone_number": "901-227-7337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAYROE",
        "first_name": "RACHEL",
        "middle_name": "MCCOY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "18322",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "18322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "MCCOY",
            "middle_name": "NICOLE",
            "credential": "PNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.