Individual provider Active NPI

Walter Craig McClain

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1972157188
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25425 Issued in TN
Practice address
1949 Gunbarrel Rd
Chattanooga, TN 37421-3188
Phone
(423) 498-5980
NPI assigned
Jul 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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 25425 TN Primary

Addresses

Primary practice location

1949 Gunbarrel Rd
Chattanooga, TN 37421-3188

Mailing address

48 Rebecca LN
Jasper, TN 37347-2927
Phone (423) 618-7976

Other practice location 1

1949 Gunbarrel Rd
Chattanooga, TN 37421-3188
Phone (423) 498-5980

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
I20191216001942 TN Practitioner - Nurse Practitioner 9133553647 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 22, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 22, 2024 Accepting new patients
DX Mso, PLLC CurrentSince Dec 6, 2024 Accepting new patients
Afc Urgent Care and Family Care of WNC, PLLC PastSince Dec 6, 2024 Accepting new patients

Locations

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

1521 Gunbarrel Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 458-1426

170 Mouse Creek Rd NW
Cleveland, TN 37312
Phone (423) 458-1426

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

4300 Main St
Jasper, TN 37347
Phone (423) 651-1696

241 S Illinois Ave
Oak Ridge, TN 37830
Phone (865) 413-0185

Organizations & group practices 10

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DX Mso PLLC 88 clinicians
Crossroads Urgent Care PLLC 181 clinicians

Practice addresses (Care Compare)

1521 Gunbarrel Rd
Suite 103
Chattanooga, TN 37421-3124
Phone (423) 458-1426

625 E 12TH St
South Pittsburg, TN 37380-1630
Phone (423) 648-4460

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1972157188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 REBECCA LN",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373472927",
            "telephone_number": "423-618-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 GUNBARREL RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213188",
            "telephone_number": "423-498-5980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1949 Gunbarrel Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374213188",
            "country_code": "US",
            "telephone_number": "423-498-5980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "WALTER",
        "middle_name": "CRAIG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.