Megan C Jack, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

61315 Issued in TN

Practice address

9430 Park West Blvd Ste 240
Knoxville, TN 37923-4204

Phone

(865) 694-9886

Fax

(865) 694-5023

NPI assigned

Apr 25, 2007

Last updated

Aug 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Megan C Hoar Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Knoxville Center for Dermatology and Plastic Surgery, PL

  • Clinic/Center
  • Knoxville, TN
  • NPI 1942703848

  Single Specialty

  NPD

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1093934341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9430 PARK WEST BLVD STE 240",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234204",
            "telephone_number": "865-694-9886",
            "fax_number": "865-694-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 PARK WEST BLVD STE 240",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234204",
            "telephone_number": "865-694-9886",
            "fax_number": "865-694-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACK",
        "first_name": "MEGAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "61315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "HOAR",
            "middle_name": "C",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• J.T. Major DDS PC
• J.W. Carell Enterprises, LLC (CareAll Home Care Services, LLC)
• J&R Transportation
• Jack Scariano Jr MD PLLC
• Jack W. Haney, D.D.S., P.C.
• Mycah Jack, FNP-BC
• Alfred Vaughn Derise Jackson Jr., MD
• Becky L Jackson, MD
• Brittany Michelle Jackson
• Carla L Jackson, LCSW

• Plastic Surgery Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Plastic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.