Active NPI
Mechelle Taylor Moragne, MD
- Family Medicine Physician
- Jackson, TN
National Provider Identifier
1528093531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 37286
- Practice address
- 655 Lexington Ave
Jackson, TN 38301-5075 - Phone
- (731) 425-7900
- NPI assigned
- Jul 11, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 37286 | TN | Primary |
Addresses
Primary practice location
655 Lexington Ave
Jackson, TN 38301-5075
Mailing address
460 N Parkway
Jackson, TN 38305-2818
Phone (731) 554-0460
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00004981 | Other | RR MEDICARE | |
| 3883264 | Medicaid | TN | |
| 3883266 | Medicaid | TN | |
| 4057600 | Other | BCBS |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Meharry Medical College School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
460 N Pkwy
Jackson, TN 38305-2818
Phone (731) 554-0460
Hospital & facility affiliations
- Medical Center Home Health LLC
- Jackson-Madison County General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37286 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylor Medical Center, PLLC | Current | Accepting new patients | |
| Medina Family Medical Clinic PC | Family Medicine | Current | Accepting new patients |
Locations
460 N Parkway
Jackson, TN 38305
Phone (731) 554-0460
Interoperability endpoints
- https://api.platform.athenahealth.com/14960/brand/1/csg/1/fhir/r4
- mechelle.taylor-moragne.1@14960.direct.athenahealth.com
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.
-
- Rural Health Clinic/Center
- Medina, TN
- NPI 1609881150
Family Medicine
-
- Clinic/Center
- Jackson, TN
- NPI 1891242939
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
-
- Home Health Agency
- Jackson, TN
- NPI 1932355997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598659200000",
"number": "1528093531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 N PARKWAY",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052818",
"telephone_number": "731-554-0460",
"fax_number": "731-554-0461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 LEXINGTON AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383015075",
"telephone_number": "731-425-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR MORAGNE",
"first_name": "MECHELLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2020-08-29",
"certification_date": "2020-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "37286",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00004981",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3883264",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3883266",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4057600",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2020; 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.