Individual provider Active NPI

Philip Andrew McCain, MSN, FNP-C

  • Family Nurse Practitioner
  • Paris, TN
National Provider Identifier
1508225319
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20932 Issued in TN
Practice address
301 Tyson Ave
Paris, TN 38242-4544
Phone
(731) 642-1220
NPI assigned
Feb 22, 2016
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20932 TN Primary

Addresses

Primary practice location

301 Tyson Ave
Paris, TN 38242-4544

Mailing address

183 Carmen Dr
Paris, TN 38242-7083
Phone (731) 499-2430

Other practice location 1

803 Poplar St
Murray, KY 42071-2432
Phone (270) 762-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180925003698 TN Practitioner - Nurse Practitioner 0648521906 Reassigns benefits to 3 organizations
I20241212003291 KY Practitioner - Nurse Practitioner 0648521906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eagle Creek Emergency Group, PCGroup PAC ID 2466714571, 21 clinicians

Practice addresses (Care Compare)

301 Tyson Ave
Paris, TN 38242-4544
Phone (731) 642-1220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Murray-Calloway County Public Hospital Corporation CurrentSince Dec 1, 2024 Accepting new patients
Henry County Medical Center CurrentSince Jul 25, 2018 Accepting new patients
Murray-Calloway County Public Hospital Corporation Family CurrentSince Dec 1, 2024 Accepting new patients
Eagle Creek Emergency Group, PC CurrentSince Apr 25, 2018 Accepting new patients
Henry County Medical Center CurrentSince Jul 25, 2018 Accepting new patients
Murray-Calloway County Public Hospital Corporation Family Current Accepting new patients
West Tennessee Healthcare Hospitalists Inc CurrentSince Oct 1, 2024 Accepting new patients

Locations

300 S 8th St
Ste 380W
Murray, KY 42071
Phone (270) 753-0704

300 S 8th St
Ste 480W
Murray, KY 42071
Phone (270) 762-1104

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

620 Skyline Dr
Jackson, TN 38301
Phone (731) 425-5000

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1508225319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 CARMEN DR",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382427083",
            "telephone_number": "731-499-2430",
            "fax_number": "731-644-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 TYSON AVE",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424544",
            "telephone_number": "731-642-1220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Poplar St",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "KY",
            "postal_code": "420712432",
            "country_code": "US",
            "telephone_number": "270-762-1100",
            "fax_number": "270-752-2852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCAIN",
        "first_name": "PHILIP",
        "middle_name": "ANDREW",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-22",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

Verify at the official NPI Registry.