Active NPI
John D McCarley, M.D.
- Nephrology Physician
- Chattanooga, TN
National Provider Identifier
1760480321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 28588
- Practice address
- 251 N Lyerly St
Suite 100
Chattanooga, TN 37404-2739 - Phone
- (423) 826-8000
- Fax
- (423) 702-7915
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 28588 | TN | Primary |
| Nephrology Physician | 207RN0300X | 047234 | GA |
Addresses
Primary practice location
251 N Lyerly St
Suite 100
Chattanooga, TN 37404-2739
Mailing address
2300 E 3Rd St Ste B
Chattanooga, TN 37404-2700
Phone (423) 702-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3826827 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100429001029 | TN | Practitioner - Neurology | 2769567585 | Reassigns benefits to 1 organization |
| I20100914000851 | GA | Practitioner - Nephrology | 2769567585 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Wisconsin School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
201 Thomas Rd
Ft Oglethorpe, GA 30742-3659
Phone (706) 861-6668
251 N Lyerly St
Suite 100
Chattanooga, TN 37404-2743
Phone (423) 826-8000
Hospital & facility affiliations
- Dci Hixson
- FMC Athens
- Parkridge Medical Center
- Memorial Healthcare System, Inc
- Affiliate of Vitruvian Health
- Erlanger Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.73 of 100
- Quality
- 81.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047234 | GA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yium, Shenouda & Miller Ptrshp | Current | Accepting new patients | |
| Ut Physicians Inc | Past | Accepting new patients | |
| Kidney Center of Ooltewah- Collegedale LLC | Past | Accepting new patients |
Locations
201 Thomas Rd
Ft Oglethorpe, GA 30742
Phone (615) 342-0472
2300 E 3rd St
Ste B
Chattanooga, TN 37404
Phone (423) 702-7900
251 N Lyerly St
Ste 100
Chattanooga, TN 37404
Phone (423) 826-8000
Organizations & group practices 3
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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Ooltewah, TN
- NPI 1316474182
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1770575490
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Athens, TN
- NPI 1639199391
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hixson, TN
- NPI 1376576751
Dialysis facility
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275004800000",
"number": "1760480321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 E 3RD ST STE B",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374042700",
"telephone_number": "423-702-7900",
"fax_number": "423-702-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 N LYERLY ST",
"address_2": "SUITE 100",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374042739",
"telephone_number": "423-826-8000",
"fax_number": "423-702-7915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARLEY",
"first_name": "JOHN",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2010-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TN",
"license": "28588",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "GA",
"license": "047234",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3826827",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.