Individual provider Active NPI

Mark R Melson, M.D.

  • Ophthalmology Physician
  • Nashville, TN
National Provider Identifier
1033144647
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD43691 Issued in TN
Practice address
4306 Harding Pike
Suite 106
Nashville, TN 37205-2205
Phone
(615) 297-5798
Fax
(615) 383-6646
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD43691 TN Primary

Addresses

Primary practice location

4306 Harding Pike
Suite 106
Nashville, TN 37205-2205

Mailing address

108 Bravo Blvd
Glasgow, KY 42141-3412
Phone (270) 651-2181

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080904000358 TN Practitioner - Ophthalmology 5799789939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Virginia School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oculoplastic Specialists of Tennessee LLCGroup PAC ID 9830494228, 2 clinicians

Practice addresses (Care Compare)

28 White Bridge Pike
Suite 205
Nashville, TN 37205-1428

28 White Bridge Pike
Suite 205
Nashville, TN 37205-2249
Phone (615) 297-5798

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP117KYMDOphthalmology Physician
MD43691TNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pomerance Eye Center, PC Ophthalmology CurrentSince Mar 14, 2014 Accepting new patients
Oculoplastic Specialists of Tennessee LLC Ophthalmology CurrentSince Mar 1, 2016 Accepting new patients
Pomerance Eye Center, PC CurrentSince Mar 14, 2014 Accepting new patients

Locations

1801 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 855-6800

28 White Bridge Pike
Ste 205
Nashville, TN 37205
Phone (615) 297-5798

4306 Harding Pike
Ste 106
Nashville, TN 37205
Phone (615) 297-5798

Organizations & group practices 3

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 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1033144647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BRAVO BLVD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413412",
            "telephone_number": "270-651-2181",
            "fax_number": "270-651-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 HARDING PIKE",
            "address_2": "SUITE 106",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052205",
            "telephone_number": "615-297-5798",
            "fax_number": "615-383-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELSON",
        "first_name": "MARK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD43691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.