Individual provider Active NPI

Vincent P McCarthy, MD

  • Pediatric Sleep Medicine Physician
  • Sevierville, TN
National Provider Identifier
1699831149
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sleep Medicine PhysicianTaxonomy code 2080S0012X
License
18483 Issued in TN
Practice address
742 Middle Creek Rd
Ste 212
Sevierville, TN 37862-5019
Phone
(865) 446-7625
Fax
(865) 446-4626
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 36642 KY
Pediatric Pulmonology Physician 2080P0214X 36642 KY
Pediatric Sleep Medicine Physician 2080S0012X 36642 KY
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 36642 KY
Pediatric Sleep Medicine Physician 2080S0012X 18483 TN Primary

Addresses

Primary practice location

742 Middle Creek Rd
Ste 212
Sevierville, TN 37862-5019

Mailing address

742 Middle Creek Rd
Ste 212
Sevierville, TN 37862-5019
Phone (865) 446-7625

Other identifiers 3

IdentifierTypeStateIssuer
6479064500MedicaidKY
Q000414MedicaidTN
200903130MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040325001545 TN Practitioner - Sleep Medicine 2567362122 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36642KYMDPediatric Sleep Medicine Physician
18483TNMDPediatric Sleep Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Associates, PA CurrentSince May 1, 2013 Accepting new patients
Covenant Medical Group, Inc. CurrentSince Aug 1, 2015 Accepting new patients
Allergy Associates, P.a. Current Accepting new patients
Covenant Medical Group, Inc CurrentSince Aug 1, 2015 Accepting new patients
Allergy Associates, PA CurrentSince May 1, 2013 Accepting new patients
Sleep Associates of East Tennessee PLLC Past Accepting new patients
University Children's Sleep Medicine Specialists, LLC Pediatrics Past Accepting new patients
Beacon Sleep Services PLLC Past Accepting new patients

Locations

801 N Weisgarber Rd
Knoxville, TN 37909

801 N Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (655) 848-5888

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

988 Oak Ridge Tpke
Ste 300
Oak Ridge, TN 37830
Phone (865) 481-0333

80 Vermont Ave
Oak Ridge, TN 37830
Phone (423) 482-4078

990 Oak Ridge Tpke
Ste 536
Oak Ridge, TN 37830
Phone (865) 481-1535

742 Middle Creek Rd
Ste 212
Sevierville, TN 37862
Phone (865) 446-7625

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1699831149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 MIDDLE CREEK RD",
            "address_2": "STE 212",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625019",
            "telephone_number": "865-446-7625",
            "fax_number": "865-446-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 MIDDLE CREEK RD",
            "address_2": "STE 212",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625019",
            "telephone_number": "865-446-7625",
            "fax_number": "865-446-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "VINCENT",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "36642",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "KY",
            "license": "36642",
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "KY",
            "license": "36642",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "KY",
            "license": "36642",
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "TN",
            "license": "18483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6479064500",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q000414",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200903130",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.