Organization Active NPI

Novo Healthcare, LLC

  • Prescribing (Medical) Psychologist
  • Madison, TN
National Provider Identifier
1558796102
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
13885 Issued in TN
Legal business name
NOVO HEALTHCARE, LLC
Practice address
223 Madison St
Suite 103
Madison, TN 37115-3665
Phone
(615) 860-0808
Fax
(615) 860-0809
NPI assigned
Sep 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Mr. Windle Hogue Morgan, APRN-BCNPI 1316183148
Title
Psychiatric Nurse Practitioner
Phone
(615) 860-0808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X 13885 TN Primary

Addresses

Primary practice location

223 Madison St
Suite 103
Madison, TN 37115-3665

Mailing address

223 Madison St
Suite 103
Madison, TN 37115-3665
Phone (615) 860-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150716001312 TN Part B Supplier - Clinic/Group Practice 8628381985 Receives reassigned benefits from 3 practitioners
Practice locations: Madison, TN

National Provider Directory

National Provider Directory

Locations

223 Madison St
Ste 103
Madison, TN 37115
Phone (615) 860-0808

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1558796102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 MADISON ST",
            "address_2": "SUITE 103",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371153665",
            "telephone_number": "615-860-0808",
            "fax_number": "615-860-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MADISON ST",
            "address_2": "SUITE 103",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371153665",
            "telephone_number": "615-860-0808",
            "fax_number": "615-860-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVO HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "WINDLE",
        "authorized_official_middle_name": "HOGUE",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "615-860-0808",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN-BC"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "TN",
            "license": "13885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.