NPIMap

Individual provider Active NPI

Mary E Clinton, MD

  • Neurology Physician
  • Nashville, TN
National Provider Identifier
1760484760
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
10604 Issued in TN
Practice address
3443 Dickerson Pike
Suite 580
Nashville, TN 37207-2519
Phone
(615) 860-1040
Fax
(615) 860-1292
NPI assigned
Aug 10, 2005
Last updated
Oct 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 10604 TN Primary

Addresses

Primary practice location

3443 Dickerson Pike
Suite 580
Nashville, TN 37207-2519

Mailing address

3443 Dickerson Pike
Suite 580
Nashville, TN 37207-2519
Phone (615) 860-1040

Other identifiers 1

IdentifierTypeStateIssuer
3716616MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051021000872 TN Practitioner - Neurology 9234155888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Southern California Keck School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skyline Neuroscience Associates LLCGroup PAC ID 6800845702, 15 clinicians

Practice addresses (Care Compare)

111 Hwy 70 E
Dickson, TN 37055-2080
Phone (615) 823-5800

200 Stonecrest Blvd
Smyrna, TN 37167-6810
Phone (615) 342-7345

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

3441 Dickerson Pike
Nashville, TN 37207-2539
Phone (615) 769-2000

3443 Dickerson Pike
Suite 580
Nashville, TN 37207-2526
Phone (615) 860-1040

355 New Shackle Island Rd
Hendersonville, TN 37075-2479
Phone (615) 823-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10604TNMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Skyline Neuroscience Associates, LLC Neurology CurrentSince Dec 1, 2007 Accepting new patients
Nashville Med Peds LLC Past Accepting new patients
Neurosurgical Associates PastSince Jan 1, 1992 Accepting new patients
Neurosurgical Associates Past Accepting new patients
St. Thomas Neurology Group Past Accepting new patients

Locations

3443 Dickerson Pike
Ste 580
Nashville, TN 37207
Phone (615) 860-1040

Interoperability endpoints

  • Direct secure messaging: maryellen.clinton@hca1.eclinicaldirectplus.com

Organizations & group practices 5

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 5

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1760484760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE",
            "address_2": "SUITE 580",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072519",
            "telephone_number": "615-860-1040",
            "fax_number": "615-860-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE",
            "address_2": "SUITE 580",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072519",
            "telephone_number": "615-860-1040",
            "fax_number": "615-860-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "10604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3716616",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.