Individual provider Active NPI

Harold F Moessner, MD

  • Allergy & Immunology Physician
  • Franklin, TN
National Provider Identifier
1649226770
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD0000018213 Issued in TN
Practice address
1909 Mallory LN
Suite 308
Franklin, TN 37067
Phone
(615) 771-8800
Fax
(615) 771-5664
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MD0000018213 TN Primary

Addresses

Primary practice location

1909 Mallory LN
Suite 308
Franklin, TN 37067

Mailing address

1623 Galleria Blvd
Brentwood, TN 37027-2926
Phone (615) 771-8800

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
I20111222000065 TN Practitioner - Allergy/Immunology 0244307403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Minnesota Medical School, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cool Springs Allergy Associates PLCGroup PAC ID 2668692393, 4 clinicians

Practice addresses (Care Compare)

1623 Galleria Blvd
Brentwood, TN 37027-2926
Phone (615) 771-8800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000018213TNMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cool Springs Allergy Associates PLC Allergy & Immunology CurrentSince Sep 1, 2014 Accepting new patients
Cool Springs Allergy Associates PLC Allergy & Immunology CurrentSince Jul 8, 2014 Accepting new patients

Locations

1623 Galleria Blvd
Brentwood, TN 37027
Phone (615) 771-8000

251 Hillcrest Dr
Ste 101
Clarksville, TN 37043
Phone (931) 645-5689

1909 Mallory Ln
Ste 308
Franklin, TN 37067
Phone (615) 203-8999

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1649226770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 GALLERIA BLVD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272926",
            "telephone_number": "615-771-8800",
            "fax_number": "615-771-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 MALLORY LN",
            "address_2": "SUITE 308",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "37067",
            "telephone_number": "615-771-8800",
            "fax_number": "615-771-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOESSNER",
        "first_name": "HAROLD",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2021-03-11",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TN",
            "license": "MD0000018213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.