NPIMap

Individual provider Active NPI

Mary Lawley McKenzie, DO

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1447458435
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2777 Issued in TN
Practice address
320 East Main Street
Suite 200
Chattanooga, TN 37408
Phone
(423) 643-2246
Fax
(423) 643-2030
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 061807 GA
Family Medicine Physician 207Q00000X 2777 TN Primary

Addresses

Primary practice location

320 East Main Street
Suite 200
Chattanooga, TN 37408

Mailing address

320 E. Main Street
Suite 200
Chattanooga, TN 37408
Phone (423) 643-2246

Other names 1

  • Mary W. Lawley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150728005098 TN Practitioner - Family Practice 6103063615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1238 Taft Hwy
Suite 170
Signal Mountain, TN 37377-3295
Phone (423) 886-2004

5600 Brainerd Rd
Suite 500
Chattanooga, TN 37411-5371
Phone (423) 414-3586

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
061807GAMDGeneral Practice Physician
2777TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation, Inc Family Medicine CurrentSince Aug 1, 2015 Accepting new patients
Memorial Health Partners Foundation Inc Family Medicine Current Accepting new patients
Memorial Health Partners Foundation Inc Family Medicine CurrentSince Aug 1, 2015 Accepting new patients

Locations

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

320 E Main St
Ste 200
Chattanooga, TN 37408
Phone (423) 643-2246

1238 Taft Hwy
Ste 170
Signal Mountain, TN 37377
Phone (423) 886-2004

Interoperability endpoints

  • Direct secure messaging: marymckenzie@tnmhpf.allscriptsdirect.net

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.

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": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1447458435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E. MAIN STREET",
            "address_2": "SUITE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37408",
            "telephone_number": "423-643-2246",
            "fax_number": "423-643-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 EAST MAIN STREET",
            "address_2": "SUITE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37408",
            "telephone_number": "423-643-2246",
            "fax_number": "423-643-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "MARY",
        "middle_name": "LAWLEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "061807",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "2777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "LAWLEY",
            "middle_name": "W.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.