Individual provider Active NPI

Jeffrey P McCartney, M.D.

  • Pulmonary Disease Physician
  • Memphis, TN
National Provider Identifier
1902820004
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
21580 Issued in TN
Practice address
6025 Walnut Grove Rd Ste 508
Memphis, TN 38120-2125
Phone
(901) 767-5864
Fax
(901) 767-6591
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 21580 TN Primary
Emergency Medicine Physician 207P00000X 21580 TN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 21580 TN
Sleep Medicine (Internal Medicine) Physician 207RS0012X 21580 TN

Addresses

Primary practice location

6025 Walnut Grove Rd Ste 508
Memphis, TN 38120-2125

Mailing address

6025 Walnut Grove Rd Ste 508
Memphis, TN 38120-2125
Phone (901) 767-5864

Other identifiers 1

IdentifierTypeStateIssuer
1514524MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190613002367 AR Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 2264331644 Reassigns benefits to 1 organization
I20200127001550 AL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 2264331644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Marshall Medical Center South Manganaris PulmonologyGroup PAC ID 5092976787, 7 clinicians
Cogent Healthcare of Decatur, LLCGroup PAC ID 0446141972, 13 clinicians

Practice addresses (Care Compare)

2525 US Hwy 431
Suite 104
Boaz, AL 35957-5967
Phone (256) 840-4653

809 University Blvd E
Tuscaloosa, AL 35401-2029
Phone (205) 759-7111

Hospital & facility affiliations

  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092
  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21580TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Decatur, LLC Critical Care Medicine CurrentSince Sep 8, 2020 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Jun 1, 2019 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Jun 1, 2019 Accepting new patients
Marshall Medical Center South Manganaris Pulmonology Pulmonary Disease CurrentSince Nov 4, 2019 Accepting new patients
Memphis Lung Physicians, P.C. Pulmonary Disease Past Accepting new patients

Locations

2525 Us Hwy 431
Ste 210
Birmingham, AL 35246

2525 US Highway 431
Ste 104
Boaz, AL 35957
Phone (256) 840-4653

8000 AL Highway 69
Guntersville, AL 35976
Phone (256) 571-8000

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

909 Enterprise Dr
Jonesboro, AR 72401
Phone (870) 336-1100

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

Organizations & group practices 5

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 4

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1902820004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 WALNUT GROVE RD STE 508",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202125",
            "telephone_number": "901-767-5864",
            "fax_number": "901-767-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 WALNUT GROVE RD STE 508",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202125",
            "telephone_number": "901-767-5864",
            "fax_number": "901-767-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTNEY",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "21580",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "21580",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "21580",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "21580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514524",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.