Individual provider Active NPI

Tammy H Heinly McCulley, M.D.

  • Allergy & Immunology Physician
  • Germantown, TN
National Provider Identifier
1609801000
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD026216 Issued in TN
Practice address
7205 Wolf River Blvd
Suite 200
Germantown, TN 38138-1746
Phone
(901) 757-6100
Fax
(901) 757-6109
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MD026216 TN Primary

Addresses

Primary practice location

7205 Wolf River Blvd
Suite 200
Germantown, TN 38138-1746

Mailing address

7205 Wolf River Blvd
Suite 200
Germantown, TN 38138-1746
Phone (901) 757-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081003000195 TN Practitioner - Allergy/Immunology 5193610558 Reassigns benefits to 1 organization
I20180921000078 MS Practitioner - Allergy/Immunology 5193610558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Missouri, Kansas City, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McCulley Allergy, Sinus and AsthmaGroup PAC ID 2668753922, 6 clinicians

Practice addresses (Care Compare)

2155 W St
Germantown, TN 38138-3856
Phone (901) 623-3323

7676 Airways Blvd
Southaven, MS 38671-5304
Phone (662) 536-7640

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as individual
Quality
89.62
Promoting interoperability
100
Improvement activities
40
Cost
80.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD026216TNMDAllergy & Immunology Physician

Interoperability endpoints

  • Direct secure messaging: tmcculley34247@mlh.direct-ci.com
  • Direct secure messaging: tammy.mcculley.1@14678.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1609801000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 WOLF RIVER BLVD",
            "address_2": "SUITE 200",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381746",
            "telephone_number": "901-757-6100",
            "fax_number": "901-757-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 WOLF RIVER BLVD",
            "address_2": "SUITE 200",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381746",
            "telephone_number": "901-757-6100",
            "fax_number": "901-757-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINLY MCCULLEY",
        "first_name": "TAMMY",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TN",
            "license": "MD026216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.