Individual provider Active NPI

Melinda Dunavant

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1063041689
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
27225 Issued in TN
Practice address
951 Court Ave
Memphis, TN 38103-2813
Phone
(901) 577-1800
Fax
(901) 527-1320
NPI assigned
Apr 6, 2020
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 27225 TN Primary

Addresses

Primary practice location

951 Court Ave
Memphis, TN 38103-2813

Mailing address

1804 Highway 45 Byp Ste 604
Jackson, TN 38305-4403
Phone (731) 660-7971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA, WV, NM4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200625001749 TN Practitioner - Nurse Practitioner 8628490398 Reassigns benefits to 2 organizations
I20250613002345 VA Practitioner - Nurse Practitioner 8628490398 Reassigns benefits to 1 organization
I20250710001858 WV Practitioner - Nurse Practitioner 8628490398 Reassigns benefits to 4 organizations
I20250730004490 NM Practitioner - Nurse Practitioner 8628490398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forefront Telecare Medical Services PCGroup PAC ID 0446668826, 13 clinicians

Practice addresses (Care Compare)

122 12TH St Ext
Princeton, WV 24740-2352
Phone (972) 449-0540

128 Capitol St
Charleston, WV 25301-2610
Phone (866) 959-2008

1333 Southview Dr
Bluefield, WV 24701-4317
Phone (972) 449-0540

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC CurrentSince Jun 25, 2025 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Aug 29, 2025 Accepting new patients
Forefront Telecare Inc CurrentSince Jun 21, 2025 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Aug 29, 2025 Accepting new patients
Pathways of Tennessee, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Forefront-Rosenzweig Medical Services Professional Corporation CurrentSince May 6, 2025 Accepting new patients
Forefront Telecare Medical Services PC CurrentSince May 6, 2025 Accepting new patients

Locations

1012 Marquez Pl
Unit 106B
Santa Fe, NM 87505
Phone (505) 470-8132

238 Summar Dr
Jackson, TN 38301
Phone (731) 541-8200

992 Davidson Dr
Ste B
Nashville, TN 37205
Phone (469) 895-9275

930 Mount Zion Rd
Union City, TN 38261
Phone (731) 885-9333

250 Browns Hill Ct
Midlothian, VA 23114
Phone (424) 328-6526

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

1333 Southview Dr
Bluefield, WV 24701
Phone (304) 327-2900

128 Capitol St
Charleston, WV 25301
Phone (276) 979-5390

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1063041689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 HIGHWAY 45 BYP STE 604",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383054403",
            "telephone_number": "731-660-7971",
            "fax_number": "731-660-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 COURT AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032813",
            "telephone_number": "901-577-1800",
            "fax_number": "901-527-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNAVANT",
        "first_name": "MELINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "27225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.