Individual provider Active NPI

Charles Cyrus, FNP

  • Family Nurse Practitioner
  • Vonore, TN
National Provider Identifier
1841614815
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18356 Issued in TN
Practice address
1206 Highway 411
Vonore, TN 37885-2455
Phone
(423) 420-6018
Fax
(423) 442-4552
NPI assigned
Feb 12, 2014
Last updated
Feb 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18356 TN Primary

Addresses

Primary practice location

1206 Highway 411
Vonore, TN 37885-2455

Mailing address

1206 Highway 411
Vonore, TN 37885-2455
Phone (423) 420-6018

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140512000955 TN Practitioner - Nurse Practitioner 1658504972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Lincoln Memorial University Medical Department, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chota Community Health ServicesGroup PAC ID 9436130135, 19 clinicians

Practice addresses (Care Compare)

1206 Hwy 411
Vonore, TN 37885-2455
Phone (423) 884-7271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18356TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chota Community Health Services CurrentSince Feb 17, 2014 Accepting new patients
Chota Community Health Services CurrentSince Feb 17, 2014 Accepting new patients

Locations

1000 Green Rd
Madisonville, TN 37354
Phone (423) 442-2454

175 Oak Grove Rd
Madisonville, TN 37354
Phone (423) 442-4137

268 Warren St
Madisonville, TN 37354
Phone (423) 442-2236

3128 Highway 411
Madisonville, TN 37354
Phone (423) 442-9230

4798 New Highway 68
Madisonville, TN 37354
Phone (423) 884-7271

414 S High St
Sweetwater, TN 37874
Phone (423) 337-7881

120 Old High School Rd
Tellico Plains, TN 37385
Phone (423) 253-2250

121 Old High School Rd
Tellico Plains, TN 37385
Phone (423) 253-3875

130 Ruritan Rd
Tellico Plains, TN 37385
Phone (423) 261-2241

145 Fifth St
Tellico Plains, TN 37385
Phone (423) 253-6545

395 Daugherty Spring Rd
Tellico Plains, TN 37385
Phone (423) 253-3551

9180 New Highway 68
Tellico Plains, TN 37385
Phone (423) 253-7005

1135 Highway 411
Vonore, TN 37885

1206 Highway 411
Vonore, TN 37885
Phone (423) 884-7271

414 Hall St
Vonore, TN 37885
Phone (423) 884-2730

Interoperability endpoints

  • Direct secure messaging: charles.cyrus@direct.chota.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1841614815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 HIGHWAY 411",
            "city": "VONORE",
            "state": "TN",
            "postal_code": "378852455",
            "telephone_number": "423-420-6018",
            "fax_number": "423-442-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 HIGHWAY 411",
            "city": "VONORE",
            "state": "TN",
            "postal_code": "378852455",
            "telephone_number": "423-420-6018",
            "fax_number": "423-442-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYRUS",
        "first_name": "CHARLES",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vonore, TN

Sources for this page

Verify at the official NPI Registry.