Active NPI
Morgan Leigh Margelewicz, PA-C
- Physician Assistant
- Clarksville, TN
National Provider Identifier
1417574021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2130 Wilma Rudolph Blvd
Clarksville, TN 37040-6637 - Phone
- (615) 771-7546
- NPI assigned
- Jun 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 4912 | TN | |
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2130 Wilma Rudolph Blvd
Clarksville, TN 37040-6637
Mailing address
2130 Wilma Rudolph Blvd
Clarksville, TN 37040-6637
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.skinsolutionsderm.com/ | Other |
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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4912 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stratum Health Collective PLLC | Past | Accepting new patients |
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.
-
- Specialist
- Franklin, TN
- NPI 1215940366
-
- Integrative Medicine Physician
- Brentwood, TN
- NPI 1740121516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1417574021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 WILMA RUDOLPH BLVD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370406637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 WILMA RUDOLPH BLVD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370406637",
"telephone_number": "615-771-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARGELEWICZ",
"first_name": "MORGAN",
"middle_name": "LEIGH",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-30",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TN",
"license": "4912",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.skinsolutionsderm.com/",
"affiliation": "N",
"endpointDescription": "office website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "contact information/appointment request/help",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "resources",
"address_1": "200 Cool Springs Blvd",
"city": "Franklin",
"state": "TN",
"country_code": "US",
"postal_code": "370672677",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.