Individual provider Active NPI

Dennis C McCraney, PA-C

  • Physician Assistant
  • Crossville, TN
National Provider Identifier
1467501379
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0000000918 Issued in TN
Practice address
4147 Hwy 127 N
Suite 102
Crossville, TN 38571-7521
Phone
(931) 456-1223
Fax
(931) 456-1230
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA0000000918 TN Primary

Addresses

Primary practice location

4147 Hwy 127 N
Suite 102
Crossville, TN 38571-7521

Mailing address

PO Box 1226
Franklin, TN 37065-1226
Phone (615) 591-2732

Other identifiers 5

IdentifierTypeStateIssuer
4141136OtherTNBC/BS - COLUMBIA
4142236OtherTNBC/BS - MCMINNVILLE
36701051MedicaidTN
P00431299OtherTNRAILROAD MEDICARE
PA0000000918OtherTNSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
918TNMDAthletic Trainer
PA0000000918TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fall Creek Medical Management, P.C. Past Accepting new patients
Cumberland Back Pain Clinic PC Past Accepting new patients

Organizations & group practices 2

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1467501379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1226",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370651226",
            "telephone_number": "615-591-2732",
            "fax_number": "615-591-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4147 HWY 127 N",
            "address_2": "SUITE 102",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385717521",
            "telephone_number": "931-456-1223",
            "fax_number": "931-456-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRANEY",
        "first_name": "DENNIS",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA0000000918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS - COLUMBIA",
            "identifier": "4141136",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS - MCMINNVILLE",
            "identifier": "4142236",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36701051",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00431299",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA0000000918",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.