Individual provider Active NPI

Megan Elizabeth Moore, FNP-BC

  • Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1457647893
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN189608 Issued in GA
Practice address
6734 Lee Hwy
Chattanooga, TN 37421-2423
Phone
(423) 899-0431
Fax
(423) 499-9552
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN189608 GA Primary

Addresses

Primary practice location

6734 Lee Hwy
Chattanooga, TN 37421-2423

Mailing address

6734 Lee Hwy
Chattanooga, TN 37421-2423
Phone (423) 899-0431

Other practice location 1

163 Walnut Grove Church Rd Ste 101
Dayton, TN 37321-6105
Phone (423) 899-0431

Other practice location 2

1506 N Thornton Ave Ste C
Dalton, GA 30720-8515
Phone (423) 899-0431

Other practice location 3

325 Market St Ste 100
Chattanooga, TN 37402-1226
Phone (423) 899-0431

Other practice location 4

24 Mountain View Dr
Kimball, TN 37347-5477
Phone (423) 899-0431

Other practice location 5

4630 Battlefield Pkwy
Ringgold, GA 30736-8004
Phone (423) 899-0431

Other practice location 6

1005 Executive Dr Ste 101
Hixson, TN 37343-7904
Phone (423) 899-0431

Other practice location 7

3760 Ocoee Pl NW Ste 100
Cleveland, TN 37312-5637
Phone (423) 899-0431

Other identifiers 1

IdentifierTypeStateIssuer
003112789DMedicaidGA

Other names 1

  • Megan Elizabeth Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6624 Lee Hwy
Chattanooga, TN 37421-2421

6734 Lee Hwy
Chattanooga, TN 37421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN189608GAMDNurse Practitioner
21588TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Allergy Clinic , PLLC CurrentSince Jul 25, 2016 Accepting new patients
Tennessee Kidney Care PLLC PastSince Sep 1, 2017 Accepting new patients

Locations

1506 N Thornton Ave
Ste C
Dalton, GA 30720
Phone (706) 277-4646

4630 Battlefield Pkwy
Ringgold, GA 30736

6734 Lee Hwy
Chattanooga, TN 37421
Phone 42389904311501

6624 Lee Hwy
Chattanooga, TN 37421
Phone (423) 648-8008

325 Market St
Ste 100
Chattanooga, TN 37402
Phone (423) 899-0341

3760 Ocoee Pl NW
Ste 100
Cleveland, TN 37312

163 Walnut Grove Church Rd
Ste 101
Dayton, TN 37321

1005 Executive Dr
Ste 101
Hixson, TN 37343

24 Mountain View Dr
Kimball, TN 37347
Phone (423) 942-6022

5243 Little Debbie Pkwy
Ste 119
Ooltewah, TN 37363
Phone (423) 238-2036

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.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1457647893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6734 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212423",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6734 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212423",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 Walnut Grove Church Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "TN",
            "postal_code": "373216105",
            "country_code": "US",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1506 N Thornton Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307208515",
            "country_code": "US",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Market St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374021226",
            "country_code": "US",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Mountain View Dr",
            "address_purpose": "LOCATION",
            "city": "Kimball",
            "state": "TN",
            "postal_code": "373475477",
            "country_code": "US",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4630 Battlefield Pkwy",
            "address_purpose": "LOCATION",
            "city": "Ringgold",
            "state": "GA",
            "postal_code": "307368004",
            "country_code": "US",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Executive Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hixson",
            "state": "TN",
            "postal_code": "373437904",
            "country_code": "US",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3760 Ocoee Pl NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373125637",
            "country_code": "US",
            "telephone_number": "423-899-0431",
            "fax_number": "423-499-9552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN189608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003112789D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "BROWN",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.