Individual provider Active NPI

Caroline Sabbatini Moreland, PA-C

  • Physician Assistant
  • Collierville, TN
National Provider Identifier
1356929624
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4405 Issued in TN
Practice address
1125 Schilling Blvd E # 105TH
Collierville, TN 38017-7078
Phone
(901) 624-3333
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00550 MS
Physician Assistant 363A00000X 4405 TN Primary

Addresses

Primary practice location

1125 Schilling Blvd E # 105TH
Collierville, TN 38017-7078

Mailing address

1125 Schilling Blvd E # 105TH
Collierville, TN 38017-7078
Phone (901) 624-3333

Other names 1

  • Caroline Sabbatini Moreland Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210907001274 MS Practitioner - Physician Assistant 6002212651 Reassigns benefits to 1 organization
I20250217000465 TN Practitioner - Physician Assistant 6002212651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Levy Dermatology, PCGroup PAC ID 9032263538, 15 clinicians

Practice addresses (Care Compare)

6254 Poplar Ave
Memphis, TN 38119-4713
Phone (901) 624-3333

Merit-based Incentive Payment System (MIPS)

Final score
84.57 of 100Reported as group
Quality
69.13
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA00550MSMDPhysician Assistant
4405TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Adam T Keres LLC. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: msabbatini@directaddress.net

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1356929624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 SCHILLING BLVD E # 105TH",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380177078",
            "telephone_number": "901-624-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 SCHILLING BLVD E # 105TH",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380177078",
            "telephone_number": "901-624-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELAND",
        "first_name": "CAROLINE",
        "middle_name": "SABBATINI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00550",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "MORELAND",
            "middle_name": "SABBATINI",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Collierville, TN

Sources for this page

Verify at the official NPI Registry.