Individual provider Active NPI

Angela McCally, FNP

  • Nurse Practitioner
  • Centerville, TN
National Provider Identifier
1740875855
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
29110 Issued in TN
Practice address
150 E Swan St
Centerville, TN 37033-1446
Phone
(931) 729-3091
NPI assigned
Mar 2, 2021
Last updated
Mar 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 29110 TN Primary

Addresses

Primary practice location

150 E Swan St
Centerville, TN 37033-1446

Mailing address

1911 State St
Nashville, TN 37203-2209
Phone (615) 284-2015

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210326001297 TN Practitioner - Nurse Practitioner 0941617534 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northside Medical Professionals, P.C.Group PAC ID 8224224357, 20 clinicians

Practice addresses (Care Compare)

1605 Nashville Hwy
Suite 200
Columbia, TN 38401-2071
Phone (931) 540-4210

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
29110TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince May 15, 2021 Accepting new patients
Hickman Community Health Careservices CurrentSince May 15, 2021 Accepting new patients
Saint Thomas Hickman Hospital Current Accepting new patients
Northside Medical Professionals, P.C. CurrentSince Sep 13, 2021 Accepting new patients
Saint Thomas Medical Partners CurrentSince May 15, 2021 Accepting new patients
Saint Thomas Hickman Hospital CurrentSince May 15, 2021 Accepting new patients

Locations

150 E Swan St
Centerville, TN 37033
Phone (931) 729-3091

1605 Nashville Hwy
Ste 200
Columbia, TN 38401
Phone (931) 540-4210

1911 State St
Nashville, TN 37203
Phone (615) 284-2015

Interoperability endpoints

  • Direct secure messaging: angela.mccally@nmp.eclinicaldirectplus.com

Organizations & group practices 6

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 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": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1740875855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 STATE ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032209",
            "telephone_number": "615-284-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E SWAN ST",
            "city": "CENTERVILLE",
            "state": "TN",
            "postal_code": "370331446",
            "telephone_number": "931-729-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLY",
        "first_name": "ANGELA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "29110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, TN

Sources for this page

Verify at the official NPI Registry.