Individual provider Active NPI

Megan Nicole Reddick, PA-C

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1174230353
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5261 Issued in TN
Practice address
1305 3Rd Ave N Apt 350
Nashville, TN 37208-2898
Phone
(812) 430-7229
NPI assigned
Oct 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5261 TN Primary

Addresses

Primary practice location

1305 3Rd Ave N Apt 350
Nashville, TN 37208-2898

Mailing address

1305 3Rd Ave N Apt 350
Nashville, TN 37208-2898

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
I20230511001817 TN Practitioner - Physician Assistant 9638535958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Solutions Dermatology and Skin Cancer Surgery, P.C.Group PAC ID 8820064140, 27 clinicians

Practice addresses (Care Compare)

200 Cool Springs Blvd
Franklin, TN 37067-2677
Phone (615) 771-7546

Merit-based Incentive Payment System (MIPS)

Final score
78.77 of 100Reported as group
Quality
85.91
Promoting interoperability
96
Improvement activities
40
Cost
46.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5261TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropathy Center of Boca Raton PastSince Nov 16, 2021 Accepting new patients
Stratum Health Collective PLLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1174230353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 3RD AVE N APT 350",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372082898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 3RD AVE N APT 350",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372082898",
            "telephone_number": "812-430-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDICK",
        "first_name": "MEGAN",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.