Individual provider Active NPI

Morgan M Ebeling, DO

  • Dermatology Physician
  • Hendersonville, TN
National Provider Identifier
1659864718
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4816 Issued in TN
Practice address
190D Saundersville Rd Ste 2005
Hendersonville, TN 37075-1008
Phone
(615) 567-4019
NPI assigned
Jun 12, 2018
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4816 TN Primary

Addresses

Primary practice location

190D Saundersville Rd Ste 2005
Hendersonville, TN 37075-1008

Mailing address

122 Ervin St
Hendersonville, TN 37075-3918
Phone (517) 270-1366

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
I20220725001474 TN Practitioner - Dermatology 3577899954 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Michigan State University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland Skin Surgery and DermatologyGroup PAC ID 0941391338, 55 clinicians

Practice addresses (Care Compare)

190 D Saundersville Rd
Suite 2005
Hendersonville, TN 37075-1008
Phone (615) 338-6028

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Promoting interoperability
85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision76
Removal of skin lesions1183
Removal or shaving of skin growth44
Skin biopsy369

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Dermatology, SC Dermatology CurrentSince Jul 15, 2022 Accepting new patients
Cumberland Skin Surgery and Dermatology CurrentSince Apr 1, 2023 Accepting new patients
Pinnacle Dermatology, SC PastSince Nov 20, 2022 Accepting new patients
Advanced Sleep Consultants of Middle TN, Inc Past Accepting new patients

Locations

201 Bluebird Dr
Goodlettsvlle, TN 37072
Phone (615) 338-5702

190D Saundersville Rd
Ste 2005
Hendersonville, TN 37075
Phone (615) 338-6028

107 Glidepath Way
Lebanon, TN 37090
Phone (615) 449-5771

1670 W Main St
Ste 140
Lebanon, TN 37087
Phone (615) 453-9492

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1659864718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 ERVIN ST",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753918",
            "telephone_number": "517-270-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190D SAUNDERSVILLE RD STE 2005",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751008",
            "telephone_number": "615-567-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBELING",
        "first_name": "MORGAN",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "4816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.