Individual provider Active NPI

Misty Suzanne McCray, FNP

  • Family Nurse Practitioner
  • Oak Ridge, TN
National Provider Identifier
1871909507
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19000 Issued in TN
Practice address
988 Oak Ridge Tpke Ste 200
Oak Ridge, TN 37830-6919
Phone
(865) 483-4366
Fax
(865) 483-5957
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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 19000 TN Primary

Addresses

Primary practice location

988 Oak Ridge Tpke Ste 200
Oak Ridge, TN 37830-6919

Mailing address

988 Oak Ridge Tpke Ste 200
Oak Ridge, TN 37830-6919
Phone (865) 483-4366

Other identifiers 1

IdentifierTypeStateIssuer
Q006990MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mccray.misty@covenanthealth.cernerdirect.com

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
I20141009002465 TN Practitioner - Nurse Practitioner 1850511098 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

10820 Parkside Dr
Knoxville, TN 37934-1956
Phone (865) 218-7011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
National Physicians PC CurrentSince Jun 1, 2021 Accepting new patients
Covenant Medical Group, Inc CurrentSince Sep 14, 2020 Accepting new patients
Covenant Medical Group, Inc. CurrentSince Sep 14, 2020 Accepting new patients
Hospital Medicine Services of Tennessee PC Family CurrentSince Jan 1, 2016 Accepting new patients
App of Tennessee HM, PLLC CurrentSince Jun 7, 2022 Accepting new patients
Southeastern Physician Services PC CurrentSince Aug 1, 2014 Accepting new patients

Locations

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

1027 Waterford Pl
Kingston, TN 37763
Phone (865) 314-7125

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

3124 Dresser Rd
Knoxville, TN 37920
Phone (865) 314-7125

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

988 Oak Ridge Tpke
Ste 200
Oak Ridge, TN 37830
Phone (865) 483-4366

988 Oak Ridge Tpke
Ste 350
Oak Ridge, TN 37830
Phone (423) 483-7030

990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 6

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 1

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1871909507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 OAK RIDGE TPKE STE 200",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306919",
            "telephone_number": "865-483-4366",
            "fax_number": "865-483-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 OAK RIDGE TPKE STE 200",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306919",
            "telephone_number": "865-483-4366",
            "fax_number": "865-483-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAY",
        "first_name": "MISTY",
        "middle_name": "SUZANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q006990",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mccray.misty@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "988 Oak Ridge Tpke Ste 200",
            "city": "Oak Ridge",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378306919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.