Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corey David McNeilly, MD

Individual provider Surgery Physician · NPI 1316567191

Corey David McNeilly, MD is an Emergency Medicine in Lexington, Tennessee. Qualified in 2020, 6 years ago. Practices with Southeast Missouri Hospital Physicians LLC, a 206-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Missouri and Tennessee.

Years since qualifying
6
Licensed in
MO, TN
In the registry since
2020
Specialties on file
9
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 W Church St
Lexington, TN 38351-2038
Phone: (731) 968-3646
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 525 Branson Landing Blvd, Branson, MO 65616-2052 — (417) 875-2627
  • 2545 N Washington Ave, Brownsville, TN 38012-1687 — (312) 894-2119
  • 5001 E Main St, Erin, TN 37061-4115 — (931) 289-4211
  • 270 W Church St Ste A, Lexington, TN 38351-2077 — (731) 968-3646
  • 920 Madison Ave Ste 447, Memphis, TN 38103-3438 — (615) 396-6449

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 65124 (TN)
Surgery Physician Taxonomy 208600000X · Licence 65124 (TN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2024038765 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 65124 (TN)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 65124 (TN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 65124 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 65124 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 65124 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1316567191
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 21, 2020
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026
Mailing address1840 Medical Center Pkwy Ste 403, Murfreesboro, TN 37129-3237

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southeast Missouri Hospital Physicians Llc — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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