Tenika Chique McCorkle, DNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

MCCO-2WLLCG Issued in NC

Practice address

129 Fayette St Ste 101
Winston Salem, NC 27101-3637

Phone

(336) 510-9930

Fax

(336) 331-3303

NPI assigned

Dec 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The McInnis Clinic PLLCGroup PAC ID 9436423027, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/29598/brand/1/csg/1/fhir/r4
• Direct secure messaging: tenika.mccorkle.1@8159.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/8159/brand/1/csg/1/fhir/r4

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.

• Healthier You Health Clinic, PLLC

  • Family Nurse Practitioner
  • Winston Salem, NC
  • NPI 1134977788
  Medicare reassignment NPD Authorized official
• The McInnis Clinic PLLC

  • Internal Medicine Physician
  • Reidsville, NC
  • NPI 1114447083
  Medicare reassignment Care Compare group NPD
• Evergreen Health Promotion,P.a.

  • Internal Medicine Physician
  • Winston Salem, NC
  • NPI 1154332971
  NPD (past)

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1457866451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 HANES MALL BLVD # 314",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035670",
            "telephone_number": "336-510-9930",
            "fax_number": "336-331-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 FAYETTE ST STE 101",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013637",
            "telephone_number": "336-510-9930",
            "fax_number": "336-331-3303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1123 S MAIN ST",
            "address_2": "STE C",
            "address_purpose": "LOCATION",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205340",
            "country_code": "US",
            "telephone_number": "336-342-4286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORKLE",
        "first_name": "TENIKA",
        "middle_name": "CHIQUE",
        "name_prefix": "Ms.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "MCCO-2WLLCG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramsay Dickinson McConnell, MD
• Joseph Francis McConville, M.D.
• Patrick Joseph McConville, MD
• Crystal McCord, PTA
• McCorkle Laboratory Enterprise LLC
• Michael Joseph McCormack Jr., M.D.
• Andrew Sean McCormick, PT
• Morgan Taylor McCoy, MD
• Saleema S McCoy, LCSWA
• Willie Ray McCoy III, LCSW-A

• Family Nurse Practitioner in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.