Angela McCally, FNP
Individual provider Active NPI Nurse Practitioner · Centerville, TN
NPI 1740875855 · NPPES record last updated Mar 23, 2021
Key facts
- NPI
- 1740875855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 29110 (TN)
- Practice address
- 150 E Swan St
Centerville, TN 37033-1446 - Phone
- (931) 729-3091
- NPI assigned
- Mar 2, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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.
Practice addresses (Care Compare)
1605 Nashville Hwy
Suite 200
Columbia, TN 38401-2071
Phone (931) 540-4210
Hospital & facility affiliations
- Maury Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210326001297 | TN | Practitioner - Nurse Practitioner | 0941617534 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29110 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Thomas Medical Partners | Current |
Accepting new patients | |
| Saint Thomas Medical Partners | Current |
Accepting new patients | |
| Northside Medical Professionals, P.C. | Current |
Accepting new patients | |
| Saint Thomas Hickman Hospital | Current | Accepting new patients | |
| Saint Thomas Hickman Hospital | Current |
Accepting new patients | |
| Hickman Community Health Careservices | Current |
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
- angela.mccally@nmp.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 29110 | TN | Yes |
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
Other providers in Centerville, TN
- Melanie Marrs
- William Nolan Mayberry
- Christy Hulan Mays
- Linda H Mays
- Thomas Melvin Mays
- Louise Clark Merritt
- Muhammad Mirza
- Optimize With Dr. Nikki
- Shan Parker
- Barry S Pendergrass
All providers in Centerville, TN · Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.