Active NPI
Dennis C McCraney, PA-C
- Physician Assistant
- Crossville, TN
National Provider Identifier
1467501379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA0000000918
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4141136 | Other | TN | BC/BS - COLUMBIA |
| 4142236 | Other | TN | BC/BS - MCMINNVILLE |
| 36701051 | Medicaid | TN | |
| P00431299 | Other | TN | RAILROAD MEDICARE |
| PA0000000918 | Other | TN | STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 918 | TN | MD | Athletic Trainer |
| PA0000000918 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Specialist
- Cookeville, TN
- NPI 1265465041
-
- Family Medicine Physician
- Cookeville, TN
- NPI 1568798635
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.