Harpeth Valley Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

HARPETH VALLEY DERMATOLOGY PLLC

Practice address

741 President PL Ste 140
Smyrna, TN 37167-6808

Phone

(615) 900-0204

NPI assigned

May 27, 2020

Organization subpart

Yes

Parent organization

HARPETH VALLEY DERMATOLOGY PLLCAs reported in NPPES

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

Authorized official

Name

Megan Eileen Morrison, DONPI 1306159728

Title

Owner

Phone

(615) 905-8083

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Harpeth Valley Dermatology PLLC

  • Dermatology Physician
  • Thompsons Station, TN
  • NPI 1003436932

  O20200908000511

  Same enrollment

Part of

Harpeth Valley Dermatology PLLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Harpeth Valley Dermatology PLLC

  • Dermatology Physician
  • Thompsons Station, TN
  • NPI 1003436932
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Eileen Morrison, D.O.

  • MOHS-Micrographic Surgery Physician
  • Thompsons Station, TN
  • NPI 1306159728

  Single Specialty

  NPD Authorized official
• Benjamin R Bashline, DO

  • Dermatology Physician
  • Thompsons Station, TN
  • NPI 1982947966
  NPD
• Amy Phelps Methvin, PA-C

  • Surgical Physician Assistant
  • Lawrenceburg, TN
  • NPI 1184687600
  NPD
• Pezhman Shoureshi, D.O.

  • Dermatology Physician
  • Thompsons Station, TN
  • NPI 1093036105
  NPD

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601078400000",
    "number": "1356964274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 ELLISTON WAY STE 101",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "371795482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 PRESIDENT PL STE 140",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676808",
            "telephone_number": "615-900-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARPETH VALLEY DERMATOLOGY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARPETH VALLEY DERMATOLOGY PLLC",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-09-26",
        "certification_date": "2020-09-26",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-905-8083",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassy Harmon, LMSW
• Christi Michelle Harper, MA CCC SLP
• Kayden Harper
• Kennedy Harper
• Harpeth Dental Partners LLC
• Bailie Harris, NP
• Elaina Harris, CNM
• Ginger W Harris, MS CCC SLP
• Rachael Leann Hartline, OTRL
• Dana J Haselton, MD

• Dermatology Physician in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.