Individual provider Active NPI

Morgan Taylor Hardison

  • Family Nurse Practitioner
  • Kodak, TN
National Provider Identifier
1124671953
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019040827 Issued in TN
Practice address
2946 Winfield Dunn Pkwy
Kodak, TN 37764-4306
Phone
(865) 933-9950
NPI assigned
Jul 21, 2019
Last updated
Feb 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2019040827 TN
Family Nurse Practitioner 363LF0000X 2019040827 TN Primary

Addresses

Primary practice location

2946 Winfield Dunn Pkwy
Kodak, TN 37764-4306

Mailing address

2946 Winfield Dunn Pkwy
Ste 107
Kodak, TN 37764-4316
Phone (865) 705-8831

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200317002812 TN Practitioner - Nurse Practitioner 0143658500 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019040827TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Medical Services PLLC Family CurrentSince Jan 5, 2020 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 8, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 8, 2021 Accepting new patients

Locations

2946 Winfield Dunn Pkwy
Kodak, TN 37764
Phone (865) 465-3936

2946 Winfield Dunn Pkwy
Ste 107
Kodak, TN 37764
Phone (865) 465-3936

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, 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": "1563667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1124671953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 WINFIELD DUNN PKWY",
            "address_2": "STE 107",
            "city": "KODAK",
            "state": "TN",
            "postal_code": "377644316",
            "telephone_number": "865-705-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 WINFIELD DUNN PKWY",
            "city": "KODAK",
            "state": "TN",
            "postal_code": "377644306",
            "telephone_number": "865-933-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDISON",
        "first_name": "MORGAN",
        "middle_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-21",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "2019040827",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "2019040827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kodak, TN

Sources for this page

Verify at the official NPI Registry.