Harpeth Valley Dermatology PLLC
Organization Active NPI Dermatology Physician · Thompsons Station, TN
NPI 1003436932 · NPPES record last updated Oct 1, 2020
Key facts
- NPI
- 1003436932
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- Legal business name
- HARPETH VALLEY DERMATOLOGY PLLC
- Practice address
- 990 Elliston Way Ste 101
Thompsons Station, TN 37179-5482 - Phone
- (615) 904-2010
- NPI assigned
- Apr 21, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Megan Eileen Morrison, DO
- Title
- Owner
- Phone
- (615) 905-8083
Other NPIs on the same Medicare enrollment 1
Subparts reporting this organization as parent 1
Practitioners 4
-
Megan Eileen Morrison, D.O.
-
Pezhman Shoureshi, D.O.
-
Amy Phelps Methvin, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2179501 | Harpeth Valley Dermatology | Compliance | Oct 18, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200908000511 | TN | Part B Supplier - Clinic/Group Practice | 2163849142 |
Receives reassigned benefits from 4 practitioners 1 other NPI on this enrollment Practice locations: Smyrna, TN; Thompsons Station, TN; Lawrenceburg, TN |
National Provider Directory
Locations
1009 N Locust Ave
Ste B
Lawrenceburg, TN 38464
Phone (931) 231-8180
990 Elliston Way
Ste 101
Thompsons Stn, TN 37179
Phone (615) 904-2010
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ez_00147
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | Yes | ||
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
990 Elliston Way Ste 101
Thompsons Station, TN 37179-5482
Mailing address
990 Elliston Way Ste 101
Thompsons Station, TN 37179-5482
Other practice location 1
741 President Pl Ste 140
Smyrna, TN 37167-6808
Phone (615) 905-8083
Other providers in Thompsons Station, TN
- William Benjamin Gray
- Michelle Greaves
- Madison Gumm
- Jessica Nicole Hall
- Breanna Hankins
- Harland Clay Harris
- Sheree Harris
- Sadira Hayes
- Johnna Hayman
- Anna Hicks
All providers in Thompsons Station, TN · Dermatology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.