Active NPI
Christopher K. McCarley, P.A.
- Surgical Physician Assistant
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA020
- Practice address
- 830 S Gloster St
NMMC East Tower, 3Rd Floor
Tupelo, MS 38801-4934 - Phone
- (662) 377-7170
- Fax
- (662) 377-2423
- NPI assigned
- Aug 15, 2006
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA020 | MS | Primary |
Addresses
Primary practice location
830 S Gloster St
NMMC East Tower, 3Rd Floor
Tupelo, MS 38801-4934
Mailing address
PO Box 7062
Tupelo, MS 38802-7062
Phone (662) 377-7170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0124633 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
830 S Gloster
North Ms Med Ctr Sleep Lab
Tupelo, MS 38801-4934
Phone (662) 377-3258
830 S Gloster St
Tupelo, MS 38801-4934
830 S Gloster St 3Rd FL E Tower
Tupelo, MS 38801-4934
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA020 | MS | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| North Mississippi Medical Center, Inc. | Current | Accepting new patients | |
| Amory Surgery Clinic, PLLC | Past | Accepting new patients | |
| St. Helena Hospital | Past | Accepting new patients | |
| Cardiothoracic Surgery Clinic of North Ms | Past | Accepting new patients |
Locations
1205 Highway 182 W
Starkville, MS 39759
Phone (662) 320-8545
830 S Gloster St
Fl 3
Tupelo, MS 38801
Phone (662) 377-7170
830 S Gloster St
Fl 4
Tupelo, MS 38801
Phone (662) 377-7100
845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
830 S Gloster St
#4
Tupelo, MS 38801
Interoperability endpoints
- christophermccarley@nmhs.medalliesdirect.net
Organizations & group practices 7
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.
-
dba Behavioral Health Center
- Psychologist
- Tupelo, MS
- NPI 1972608347
-
dba Radiology Consultants
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1902762487
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
dba North Mississippi Regional Pain Consultants-Starkville
- Pain Medicine Physician
- Starkville, MS
- NPI 1205616802
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Tupelo, MS
- NPI 1154533321
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Mississippi Medical Center
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497768675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7062",
"city": "TUPELO",
"state": "MS",
"postal_code": "388027062",
"telephone_number": "662-377-7170",
"fax_number": "662-377-2423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 S GLOSTER ST",
"address_2": "NMMC EAST TOWER, 3RD FLOOR",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014934",
"telephone_number": "662-377-7170",
"fax_number": "662-377-2423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARLEY",
"first_name": "CHRISTOPHER",
"middle_name": "K.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MS",
"license": "PA020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0124633",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.