TJ McNichol, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME100254 Issued in FL

Practice address

910 Old Camp Rd Ste 114
The Villages, FL 32162-5605

Phone

(352) 259-4322

NPI assigned

Nov 13, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

General PracticeAlso: Family Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Volcare Medical LLC

  • Urgent Care Clinic/Center
  • Palm Harbor, FL
  • NPI 1467981613
  Medicare reassignment NPD
• Advanced Healthcare Alternatives Center for Integrative Medicine and

  • Psychiatry Physician
  • New Port Richey, FL
  • NPI 1063866358
  NPD (past)
• Express Care of Belleview, LLC

  • Rural Health Clinic/Center
  • Belleview, FL
  • NPI 1952357519

  General Practice

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1790939015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29116 RIVERGATE RUN",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335436546",
            "telephone_number": "813-293-6009",
            "fax_number": "813-388-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 OLD CAMP RD STE 114",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625605",
            "telephone_number": "352-259-4322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2815 Alt 19 Ste B",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346831948",
            "country_code": "US",
            "telephone_number": "727-303-3111",
            "fax_number": "727-303-3179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNICHOL",
        "first_name": "TJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME100254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Joan McKinney, FNP-C
• Kelly Ann McKnight, DMD
• Stacey Lynne McLaughlin X, RPH
• Jeffery Jerome McNeil, FNP-C
• Stanley Joe McNeme, DDS
• Colleen R McQuade, M.D.
• MD One LLC
• Med-Trans Corporation
• Medical Ventures of America
• Jose L Medina Sr., ARNP F03240384

• General Practice Physician in The Villages, FL
• Providers in The Villages, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.