Individual provider Active NPI

Malori Marks, NP

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1285165175
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22073 Issued in TN
Practice address
6130 Shallowford Rd
Ste 101
Chattanooga, TN 37421-7222
Phone
(423) 664-4635
Fax
(423) 702-7789
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22073 TN Primary

Addresses

Primary practice location

6130 Shallowford Rd
Ste 101
Chattanooga, TN 37421-7222

Mailing address

6130 Shallowford Rd
Ste 101
Chattanooga, TN 37421-7222
Phone (423) 664-4635

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
I20170419001255 TN Practitioner - Nurse Practitioner 8022394477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen V. Dreskin MD PCGroup PAC ID 2163491747, 8 clinicians

Practice addresses (Care Compare)

6130 Shallowford Rd
Suite 101
Chattanooga, TN 37421-7222
Phone (423) 664-4635

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22073TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen V Dreskin MD PC CurrentSince Mar 20, 2017 Accepting new patients
Stephen V. Dreskin MD PC CurrentSince Mar 20, 2017 Accepting new patients

Locations

6130 Shallowford Rd
Ste 101
Chattanooga, TN 37421
Phone (423) 664-4635

1012 Executive Dr
Hixson, TN 37343
Phone (423) 664-4635

Interoperability endpoints

  • Direct secure messaging: malori.marks.1@590.direct.athenahealth.com

Organizations & group practices 2

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1285165175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 SHALLOWFORD RD",
            "address_2": "STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217222",
            "telephone_number": "423-664-4635",
            "fax_number": "423-702-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 SHALLOWFORD RD",
            "address_2": "STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217222",
            "telephone_number": "423-664-4635",
            "fax_number": "423-702-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "MALORI",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.