Active NPI
Mallory Johnson
- Psychiatry Physician
- Franklin, TN
National Provider Identifier
1801627468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 36882
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36882 | TN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nashville TMS PLLC | Single Specialty | Current | Accepting new patients |
| Nashville TMS PLLC | Single Specialty | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.