Active NPI
Megan Whitney Nelson, P.A.
- Physician Assistant
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2507
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q008798 | Medicaid | TN |
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
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventional Pain Consultants | Current | 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.
-
- Interventional Pain Medicine Physician
- Cleveland, TN
- NPI 1174241145
-
- Pain Medicine Physician
- Cleveland, TN
- NPI 1497267173
-
- Durable Medical Equipment & Medical Supplies
- Ringgold, GA
- NPI 1629932389
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.