Individual provider Active NPI

Megan Whitney Nelson, P.A.

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1851702906
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2507 Issued in TN
Practice address
11416 Grigsby Chapel Rd Ste 104
Knoxville, TN 37934
Phone
(865) 218-2100
NPI assigned
May 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2507 TN Primary

Addresses

Primary practice location

11416 Grigsby Chapel Rd Ste 104
Knoxville, TN 37934

Mailing address

PO Box 2070
Cleveland, TN 37320-2070
Phone (423) 476-5774

Other practice location 1

200 New York Ave
Suite 150
Oak Ridge, TN 37830-5212
Phone (865) 835-5196

Other practice location 2

103 Donner Dr
Oak Ridge, TN 37830-7745
Phone (423) 472-0494

Other identifiers 1

IdentifierTypeStateIssuer
Q008798MedicaidTN

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
I20141223000771 TN Practitioner - Physician Assistant 6204159254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Pain ConsultantsGroup PAC ID 7416323514, 16 clinicians

Practice addresses (Care Compare)

101 Donner Dr
Oak Ridge, TN 37830-7745
Phone (865) 695-0941

102 Dunhill PL NW
Cleveland, TN 37311-3885
Phone (423) 339-9581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Pain Consultants CurrentSince Dec 5, 2022 Accepting new patients

Locations

102 Dunhill Pl NW
Cleveland, TN 37311
Phone (423) 339-9581

11416 Grigsby Chapel Rd
Ste 104
Knoxville, TN 37934
Phone (865) 218-2100

101 Donner Dr
Oak Ridge, TN 37830
Phone (865) 685-0941

Organizations & group practices 3

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": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1851702906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2070",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373202070",
            "telephone_number": "423-476-5774",
            "fax_number": "423-472-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11416 GRIGSBY CHAPEL RD STE 104",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37934",
            "telephone_number": "865-218-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 New York Ave",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378305212",
            "country_code": "US",
            "telephone_number": "865-835-5196",
            "fax_number": "865-835-5197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Donner Dr",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378307745",
            "country_code": "US",
            "telephone_number": "423-472-0494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MEGAN",
        "middle_name": "WHITNEY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q008798",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.