Deloyn L McDonough, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0121 Issued in TN

Practice address

9026 Hiwassee Street NE
Charleston, TN 37310

Phone

(423) 665-3666

Fax

(423) 584-6747

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preferred Family Medical Care LLCGroup PAC ID 6800013608, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: deloyn.mcdonough.1@9245.direct.athenahealth.com
• Direct secure messaging: dmcdonough@pfmcl-tn.direct.office.nextgen.com

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.

• Preferred Family Medical Care LLC

  • Primary Care Clinic/Center
  • Charleston, TN
  • NPI 1699188029
  Medicare reassignment Care Compare group
• Physician First PC

  • Family Medicine Physician
  • Cleveland, TN
  • NPI 1629108691
  Medicare reassignment
• Southeastern Emergency Services P C

  • Nurse Practitioner
  • Athens, TN
  • NPI 1669414264
  Medicare reassignment
• Cleveland Medical Clinic Inc

  • Orthopaedic Surgery of the Spine Physician
  • Cleveland, TN
  • NPI 1457350951

  Physician Assistant

  NPD (past)
• Physician Services of Cleveland, PC

  • Emergency Medicine Physician
  • Cleveland, TN
  • NPI 1457378341
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1487662672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15",
            "city": "CHARLESTON",
            "state": "TN",
            "postal_code": "37310",
            "telephone_number": "423-665-3666",
            "fax_number": "423-584-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9026 HIWASSEE STREET NE",
            "city": "CHARLESTON",
            "state": "TN",
            "postal_code": "37310",
            "telephone_number": "423-665-3666",
            "fax_number": "423-584-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "DELOYN",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "0121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512988",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eugene Baker, DPH
• Katelyn Cantrell
• James Clifton Griffin, RPH
• Kavin J Johnson, MD
• Keith L Kidd, FNP-BC
• Danny Ray Nelson, NP-C
• Thomas Odom
• Preferred Family Medical Care LLC
• Preferred Family Pharmacy LLC
• Riverside Pharmacy Solutions

• Physician Assistant in Charleston, TN
• Providers in Charleston, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.