Active NPI
Andrew Megison
- Oral and Maxillofacial Surgery (Dentist)
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 11529
- Practice address
- 6015 Shallowford Rd
Chattanooga, TN 37421-1688 - Phone
- (423) 298-3072
- NPI assigned
- Mar 10, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 6566 | LA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 11529 | TN | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 11529 | TN | Primary |
Addresses
Primary practice location
6015 Shallowford Rd
Chattanooga, TN 37421-1688
Mailing address
6015 Shallowford Rd
Chattanooga, TN 37421-1688
Phone (423) 298-3072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210715003399 | TN | Practitioner - Oral Surgery | 5496032716 | Reassigns benefits to 1 organization |
| I20240617003636 | GA | Practitioner - Oral Surgery | 5496032716 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Louisiana State University School of Medicine in New Orleans, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6015 Shallowford Rd
Chattanooga, TN 37421-1688
Phone (423) 893-3333
78 Alamar St
Fort Oglethorpe, GA 30742-7303
Phone (706) 858-7054
Hospital & facility affiliations
- Memorial Healthcare System, Inc
- Erlanger Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6566 | LA | MD | Public Health Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Oral and Maxillofacial Surgery, P. C. | Current | Accepting new patients | |
| Charles Dunlap, DDS | Past | Accepting new patients | |
| Professional Medical Properties, LLC | Past | Accepting new patients | |
| Waco Center for Oral & Maxillofacial Surgery PLLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Locations
78 Alamar St
Ft Oglethorpe, GA 30742
Phone (706) 858-7054
6015 Shallowford Rd
Chattanooga, TN 37421
Phone (423) 893-3333
Organizations & group practices 4
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.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Chattanooga, TN
- NPI 1851474563
GA, TN
-
- Oral and Maxillofacial Surgery Clinic/Center
- Chattanooga, TN
- NPI 1700970407
-
- Specialist
- Fort Oglethorpe, GA
- NPI 1225150964
-
- Oral and Maxillofacial Surgery (Dentist)
- Waco, TX
- NPI 1518664200
Oral and Maxillofacial Surgery
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1306239603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6015 SHALLOWFORD RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374211688",
"telephone_number": "423-298-3072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6015 SHALLOWFORD RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374211688",
"telephone_number": "423-298-3072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEGISON",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-10",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "LA",
"license": "6566",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "11529",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TN",
"license": "11529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.