Sidney Moragne, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

38014 Issued in TN

Practice address

378 Carriage House Dr Ste a
Jackson, TN 38305-2254

Phone

(731) 300-0494

Fax

(731) 300-0495

NPI assigned

May 31, 2006

Last updated

Nov 2, 2016By the provider in NPPES

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Everwell Medical ,LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Murfreesboro, TN
  • NPI 1902670870
  Medicare reassignment
• Pathways of Tennessee, Inc.

  • Clinic/Center
  • Jackson, TN
  • NPI 1497721609
  NPD (past)
• Raleigh Professional Associates

  dba Jackson Professional Associates

  • Methadone Clinic
  • Jackson, TN
  • NPI 1871752105
  NPD (past)
• Vcphcs Xix, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jackson, TN
  • NPI 1639515646
  NPD (past)
• Consulting Professionals Inc

  • Clinical Psychologist
  • Calumet City, IL
  • NPI 1104926625
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1710934906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378A CARRAIGE HOUSE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-300-0494",
            "fax_number": "731-300-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 CARRIAGE HOUSE DR STE A",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052254",
            "telephone_number": "731-300-0494",
            "fax_number": "731-300-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAGNE",
        "first_name": "SIDNEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "38014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamey Moore, MS
• Miracle Moore, RBT
• Patricia Ann Moore, MT
• Samantha Nichole Moore
• Spencer Keith Moore, CW
• Nina Morey, CASE MANAGER
• Morningside of Jackson, LLC (Morningside of Jackson)
• Brent Jerome Morris, M.D.
• Inyang Morris, APRN, PMHNP-BC
• Janice Marian Morris, LPN

• Psychiatry Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.