Individual provider Active NPI

Laura McKinney

  • Family Nurse Practitioner
  • Madison, TN
National Provider Identifier
1578094215
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21909 Issued in TN
Practice address
1200 Gallatin Pike S
Madison, TN 37115-4613
Phone
(678) 721-1090
NPI assigned
Mar 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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 21909 TN Primary

Addresses

Primary practice location

1200 Gallatin Pike S
Madison, TN 37115-4613

Mailing address

1200 Gallatin Pike S
Madison, TN 37115-4613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 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
I20170508001485 GA Practitioner - Nurse Practitioner 8022395656 Reassigns benefits to 1 organization
I20180710001178 TN Practitioner - Nurse Practitioner 8022395656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3905 Hixson Pike
Suite 103
Chattanooga, TN 37415-3569
Phone (423) 756-1506

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21909TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Apr 13, 2017 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Nov 10, 2024 Accepting new patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Pazona MD, PLLC CurrentSince May 2, 2022 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Nov 10, 2024 Accepting new patients

Locations

5095 Peachtree Pkwy
Norcross, GA 30092
Phone (770) 209-9299

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

3905 Hixson Pike
Ste 103
Chattanooga, TN 37415
Phone (423) 756-1506

2201 Murphy Ave
Ste 403
Nashville, TN 37203
Phone (615) 320-3773

Interoperability endpoints

  • Direct secure messaging: lauramckinney@tnmhpf.allscriptsdirect.net
  • Direct secure messaging: lmckinney411593@direct.stlukeshealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1578094215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 GALLATIN PIKE S",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GALLATIN PIKE S",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154613",
            "telephone_number": "678-721-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

Verify at the official NPI Registry.