Individual provider Active NPI

Mallory Johnson

  • Psychiatry Physician
  • Franklin, TN
National Provider Identifier
1801627468
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
36882 Issued in TN
Practice address
2001 Mallory LN Ste 304
Franklin, TN 37067-8236
Phone
(615) 465-4875
NPI assigned
Aug 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 36882 TN Primary

Addresses

Primary practice location

2001 Mallory LN Ste 304
Franklin, TN 37067-8236

Mailing address

120 Burkitt Commons Ave
Nolensville, TN 37135-2964

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250416000264 TN Practitioner - Nurse Practitioner 9638694383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nashville TMS PLLCGroup PAC ID 8224358353, 7 clinicians

Practice addresses (Care Compare)

30 Burton Hills Blvd
Suite 360
Nashville, TN 37215-6407
Phone (615) 327-4877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
36882TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville TMS PLLC Single Specialty CurrentSince Jan 2, 2025 Accepting new patients
Nashville TMS PLLC Single Specialty CurrentSince Jan 2, 2025 Accepting new patients

Locations

2001 Mallory Ln
Ste 304
Franklin, TN 37067
Phone (615) 465-4875

30 Burton Hills Blvd
Ste 360
Nashville, TN 37215
Phone (615) 327-4877

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": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1801627468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BURKITT COMMONS AVE",
            "city": "NOLENSVILLE",
            "state": "TN",
            "postal_code": "371352964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MALLORY LN STE 304",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678236",
            "telephone_number": "615-465-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MALLORY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "36882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.