Individual provider Active NPI

Mechelle Taylor Moragne, MD

  • Family Medicine Physician
  • Jackson, TN
National Provider Identifier
1528093531
Registry record updated Aug 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37286 Issued in TN
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

Updated by the provider on Aug 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00004981OtherRR MEDICARE
3883264MedicaidTN
3883266MedicaidTN
4057600OtherBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041109000195 TN Practitioner - Family Practice 7113980376 Reassigns benefits to 2 organizations

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 Home health agency, Jackson, TN, CCN 447101
  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37286TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Medical Center, PLLC CurrentSince Feb 9, 2017 Accepting new patients
Medina Family Medical Clinic PC Family Medicine CurrentSince Sep 7, 2004 Accepting new patients

Locations

460 N Parkway
Jackson, TN 38305
Phone (731) 554-0460

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14960/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.