Maxi Douthat Morelock, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0000001888 Issued in TN

Practice address

412 Circle Heights Dr
Greeneville, TN 37745-4109

Phone

(423) 787-9633

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649486002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 CIRCLE HEIGHTS DR",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454109",
            "telephone_number": "423-787-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 CIRCLE HEIGHTS DR",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454109",
            "telephone_number": "423-787-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELOCK",
        "first_name": "MAXI",
        "middle_name": "DOUTHAT",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "0000001888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles A Montgomery, M.D.
• Rebecca Miles Moore, BA
• James Brandon Moreland, P.T.
• Ashton Leigh Morelock
• Brooks Morelock, M.D.
• Benjamin Henry Morgan, DO
• Darla Kay Morgan, APN
• Pamela Kay Morong
• Robert W Mosca, DO
• Joe David Mottern, FNP

• All providers in Greeneville, TN
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.