Individual provider Active NPI

Megan Leigh Massey Dalton, NP-C

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1831436765
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000017177 Issued in TN
Practice address
2115 Union Ave
Memphis, TN 38104-4233
Phone
(866) 389-2727
NPI assigned
Jan 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17177 TN
Family Nurse Practitioner 363LF0000X APN0000017177 TN Primary

Addresses

Primary practice location

2115 Union Ave
Memphis, TN 38104-4233

Mailing address

2115 Union Ave
Memphis, TN 38104-4233
Phone (901) 870-6224

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
I20130325000522 TN Practitioner - Nurse Practitioner 0941445845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Elite Total Health IncGroup PAC ID 1759626930, 3 clinicians

Practice addresses (Care Compare)

364 S Front St
Suite 101
Memphis, TN 38103-4160
Phone (901) 505-2017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17177TNMDFamily Nurse Practitioner
APN0000017177TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Total Health Inc CurrentSince Mar 31, 2026 Accepting new patients

Locations

364 S Front St
Ste 101
Memphis, TN 38103
Phone (901) 292-1519

364 S Front St
Memphis, TN 38103
Phone (901) 296-3000

Organizations & group practices 1

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": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1831436765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044233",
            "telephone_number": "901-870-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044233",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "MEGAN",
        "middle_name": "LEIGH MASSEY",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-11",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17177",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000017177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.