Organization Active NPI

Taylor Medical Center, PLLC

  • Clinic/Center
  • Jackson, TN
National Provider Identifier
1891242939
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
37286 Issued in TN
Legal business name
TAYLOR MEDICAL CENTER, PLLC
Practice address
460 N Parkway Ste a
Jackson, TN 38305-2818
Phone
(731) 418-1656
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Dr. Mechelle Taylor Moragne, M.D., PH.D.
Title
Ceo, Owner
Phone
(731) 418-1656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 37286 TN Primary

Addresses

Primary practice location

460 N Parkway Ste a
Jackson, TN 38305-2818

Mailing address

460 N Parkway Ste a
Jackson, TN 38305-2818
Phone (731) 418-1656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170308000618 TN Part B Supplier - Clinic/Group Practice 5092099291 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2124149Taylor Medical Center, PLLC460 North Parkway, Jackson, TN 38305Certificate of waiverJan 9, 2027

National Provider Directory

National Provider Directory

Locations

460 N Parkway
Jackson, TN 38305
Phone (731) 554-0460

460 N Parkway
Ste A
Jackson, TN 38305
Phone (731) 418-1656

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14960/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1891242939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 N PARKWAY STE A",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052818",
            "telephone_number": "731-418-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N PARKWAY STE A",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052818",
            "telephone_number": "731-418-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "MORAGNE",
        "authorized_official_first_name": "MECHELLE",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "731-418-1656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "37286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.