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MCCOY MEDICAL
NPI 1225263080
Nurse Practitioner in Dyersburg, TN

Active since May 22, 2009
1385 FLOWERING DOGWOOD LN, SUITE C, DYERSBURG, TN 38024(731) 287-0804(731) 285-3600 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mccoy Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCCOY MEDICAL (NPI 1225263080) is a healthcare organization registered as a nurse practitioner in Dyersburg, Tennessee and active in the NPI registry since May 2009. The organization lists Misty A Mccoy, Owner Director, as its authorized official.

NPPES Registry Identity

NPI1225263080
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMCCOY MEDICAL
Location Address1385 FLOWERING DOGWOOD LN, SUITE CDyersburg, TN 38024-6409
Mailing Address1385 Flowering Dogwood Ln, Suite CDyersburg, TN 38024-6409 · (731) 287-0804 · Fax (731) 285-3600
Phone(731) 287-0804
Fax(731) 285-3600
Organization SubpartNo
Authorized OfficialMisty A MccoyOwner Director · (731) 287-0804
Enumeration DateMay 22, 2009
Last NPPES UpdateOctober 25, 2012
✔ NPI 1225263080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1385 FLOWERING DOGWOOD LN, Dyersburg, TN 38024
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mccoy Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mccoy Medical, which bills Medicare for the services this clinician delivers.

Clinician (1)

Misty Parker, A.C.N.P.-B.C.
Nurse Practitioner
NPI 1396744710
1385 FLOWERING DOGWOOD LN SUITE C
Dyersburg, TN 38024
(731) 287-0804
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mccoy Medical's NPI number?

The NPI number for Mccoy Medical is 1225263080. It was assigned to this organization in the NPPES registry on May 22, 2009.

Where is Mccoy Medical located?

Mccoy Medical is located at 1385 Flowering Dogwood Ln Suite C, Dyersburg, TN 38024. The listed phone number is (731) 287-0804.

What is Mccoy Medical's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mccoy Medical enrolled in Medicare?

Yes. Mccoy Medical is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mccoy Medical?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mccoy Medical. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mccoy Medical was last updated on October 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.