Active NPI
Thomas Oliver McRaney, M.D.
- Family Medicine Physician
- Picayune, MS
National Provider Identifier
1689768434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7686
- Practice address
- 1018 Sixth Ave
Suite C
Picayune, MS 39466-3837 - Phone
- (601) 799-1901
- Fax
- (601) 799-1906
- NPI assigned
- Oct 3, 2006
- Last updated
- Jul 30, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7686 | MS | Primary |
Addresses
Primary practice location
1018 Sixth Ave
Suite C
Picayune, MS 39466-3837
Mailing address
1018 Sixth Ave
Suite C
Picayune, MS 39466-3837
Phone (601) 799-1901
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01-1002-8 | Other | LA | UNITED HEALTHCARE LA |
| 10538 | Other | LA | BLUE CROSS BLUE SHIELD LA |
| 01-30218 | Other | MS | UNITED HEALTHCARE MS |
| 00016244 | Medicaid | MS | |
| 1181102 | Medicaid | LA |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100809000156 | MS | Practitioner - General Practice | 0941243935 | Practice locations: Picayune, MS |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375142400000",
"number": "1689768434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 SIXTH AVE",
"address_2": "SUITE C",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394663837",
"telephone_number": "601-799-1901",
"fax_number": "601-799-1906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 SIXTH AVE",
"address_2": "SUITE C",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394663837",
"telephone_number": "601-799-1901",
"fax_number": "601-799-1906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCRANEY",
"first_name": "THOMAS",
"middle_name": "OLIVER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2013-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "7686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE LA",
"identifier": "01-1002-8",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD LA",
"identifier": "10538",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE MS",
"identifier": "01-30218",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00016244",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1181102",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Picayune, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.