Individual provider Active NPI

Michael A Macquarrie, MD

  • General Practice Physician
  • Murfreesboro, TN
National Provider Identifier
1790766590
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD0000026300 Issued in TN
Practice address
602 E Clark Blvd
Murfreesboro, TN 37130-2121
Phone
(615) 494-3202
Fax
(931) 680-9835
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD0000026300 TN Primary

Addresses

Primary practice location

602 E Clark Blvd
Murfreesboro, TN 37130-2121

Mailing address

602 E Clark Blvd
Murfreesboro, TN 37130-2121
Phone (615) 494-3202

Other identifiers 2

IdentifierTypeStateIssuer
4030468OtherTNBCBS
3089643MedicaidTN

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
I20040805000718 TN Practitioner - General PracticePractitioner - Emergency Medicine 6406827070 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

602 E Clark Blvd
Murfreesboro, TN 37130-2121
Phone (615) 494-3202

Hospital & facility affiliations

  • Adoration Home Health, LLC Home health agency, Madison, TN, CCN 447581
  • Vanderbilt Bedford Hospital Hospital, Shelbyville, TN, CCN 440137

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000026300TNMDGeneral Practice Physician
2630TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Oaks Primary Care, Inc. General Practice CurrentSince Jul 1, 2012 Accepting new patients
App of Tennessee Ed, PLLC CurrentSince Mar 14, 2017 Accepting new patients
DX Mso, PLLC CurrentSince Mar 9, 2013 Accepting new patients
Emergency Coverage, LLC Past Accepting new patients
United Emergency Services, Inc. Past Accepting new patients
Livingston Regional Hospital LLC Past Accepting new patients
Doolittle Emergency Physicians LLC Past Accepting new patients

Locations

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

170 Mouse Creek Rd NW
Cleveland, TN 37312
Phone (423) 458-1426

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

602 E Clark Blvd
Murfreesboro, TN 37130
Phone (615) 494-3202

401 Sewell Dr
Sparta, TN 38583
Phone (931) 738-2164

324 Doolittle Rd
Woodbury, TN 37190
Phone (615) 563-4001

Interoperability endpoints

  • Direct secure messaging: michael.mac.quarrie.1@2545.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GBFBDD/Endpoint/GBFBDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GBFBDD

Organizations & group practices 7

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.

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1790766590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E CLARK BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302121",
            "telephone_number": "615-494-3202",
            "fax_number": "615-494-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E CLARK BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302121",
            "telephone_number": "615-494-3202",
            "fax_number": "931-680-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACQUARRIE",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "MD0000026300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4030468",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3089643",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.