Individual provider Active NPI

Brian McCarver, M.D.

  • Family Medicine Physician
  • Henderson, TN
National Provider Identifier
1861428898
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37020 Issued in TN
Practice address
426 White Ave
Henderson, TN 38340-1914
Phone
(731) 989-2174
Fax
(731) 989-3891
NPI assigned
Jun 23, 2006
Last updated
Jul 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 37020 TN Primary

Addresses

Primary practice location

426 White Ave
Henderson, TN 38340-1914

Mailing address

426 White Ave
Henderson, TN 38340-1914
Phone (731) 989-2174

Other identifiers 6

IdentifierTypeStateIssuer
3717101MedicaidTN
144224MedicaidTN
4063255OtherTNBLUE CROSS BLUE SHIELD S
4063262OtherTNBLUE CROSS BLUE SHIELD H
4063265OtherTNBLUE CROSS BLUE SHIELD A
27403MedicaidTN

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
I20101029000814 TN Practitioner - Family Practice 6709982416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Tennessee Medical Group IncGroup PAC ID 3971781006, 190 clinicians

Practice addresses (Care Compare)

270 E Court Ave
Suite B
Selmer, TN 38375-0000
Phone (731) 645-7932

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as apm
Quality
85.23
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions37
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37020TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Medical Group Inc Family Medicine CurrentSince Feb 1, 2017 Accepting new patients
Jackson Surgical Associates. PA Past Accepting new patients

Locations

710 E Main St
Adamsville, TN 38310
Phone (731) 632-3383

426 White Ave
Henderson, TN 38340
Phone (731) 989-2174

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

9550 Highway 412 W
Lexington, TN 38351
Phone (731) 967-3224

270 E Court Ave
#B
Selmer, TN 38375
Phone 73164579322931

Interoperability endpoints

  • Direct secure messaging: bmccarver18682@directepic.wth.org

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.

Hospital & facility affiliations 6

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1861428898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 WHITE AVE",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383401914",
            "telephone_number": "731-989-2174",
            "fax_number": "731-989-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 WHITE AVE",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383401914",
            "telephone_number": "731-989-2174",
            "fax_number": "731-989-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARVER",
        "first_name": "BRIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "37020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3717101",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144224",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD S",
            "identifier": "4063255",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD H",
            "identifier": "4063262",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD A",
            "identifier": "4063265",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27403",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, TN

Sources for this page

Verify at the official NPI Registry.