Active NPI
Kylee Elise Deckard, PA
- Physician Assistant
- Germantown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6368
- Practice address
- 1400 S Germantown Rd
Germantown, TN 38138-2205 - Phone
- (901) 759-3100
- NPI assigned
- Oct 24, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6368 | TN | Primary |
Addresses
Primary practice location
1400 S Germantown Rd
Germantown, TN 38138-2205
Mailing address
1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100
Other names 1
- Kylee Moody
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100
Hospital & facility affiliations
- Methodist Hospitals of Memphis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell Clinic, PC | Physician Assistant | Current | Accepting new patients |
| Greene County General Hospital | Physician Assistant | Current | Accepting new patients |
| Campbell Clinic PC | Current | Accepting new patients | |
| Campbell Clinic | Past | Accepting new patients | |
| CC Bpci PLC | Past | Accepting new patients |
Locations
1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281
6760 Goodman Rd
Ste 110
Olive Branch, MS 38654
7545 Airways Blvd
Southaven, MS 38671
Phone (901) 759-3196
11851 Will Harris Dr
Arlington, TN 38002
Phone (901) 430-8263
1900 W Poplar Ave
Collierville, TN 38017
Phone (901) 759-5491
7887 Wolf River Blvd
Memphis, TN 38138
Phone (901) 759-3180
585 S Mendenhall Rd
Memphis, TN 38117
1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111
1211 Union Ave
Ste 500
Memphis, TN 38104
Phone (901) 759-3275
Interoperability endpoints
- kylee.moody.1@1366.direct.athenahealth.com
- https://api.platform.athenahealth.com/1366/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Germantown, TN
- NPI 1003835141
MS, Physician Assistant
-
- Critical Access Hospital
- Linton, IN
- NPI 1184695389
-
- Durable Medical Equipment & Medical Supplies
- Carthage, TN
- NPI 1669366068
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Germantown, TN
- NPI 1588619944
-
- Orthopaedic Surgery Physician
- Germantown, TN
- NPI 1881387330
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Children's Hospital
- Germantown, TN
- NPI 1649654450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1447977202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 S GERMANTOWN RD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382205",
"telephone_number": "901-759-3100",
"fax_number": "901-759-3196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S GERMANTOWN RD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382205",
"telephone_number": "901-759-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKARD",
"first_name": "KYLEE",
"middle_name": "ELISE",
"name_prefix": "Miss",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-24",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "6368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KYLEE",
"last_name": "MOODY",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.