Active NPI
Misty Suzanne McCray, FNP
- Family Nurse Practitioner
- Oak Ridge, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q006990 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Physicians PC | Current | Accepting new patients | |
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| Covenant Medical Group, Inc. | Current | Accepting new patients | |
| Hospital Medicine Services of Tennessee PC | Family | Current | Accepting new patients |
| App of Tennessee HM, PLLC | Current | Accepting new patients | |
| Southeastern Physician Services PC | Current | 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.
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
-
- Hospitalist Physician
- Shelbyville, TN
- NPI 1396160768
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
-
- Adult Medicine Physician
- Knoxville, TN
- NPI 1780112805
-
- Hospitalist Physician
- Lawrenceburg, IN
- NPI 1528433802
Family, TN
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Powell, TN
- NPI 1043292899
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.