Individual provider Active NPI

Morgan Kate Prozan

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1902518921
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5360 Issued in TN
Practice address
426 21St Ave S
Nashville, TN 37203-2424
Phone
(615) 321-2590
NPI assigned
Dec 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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 5360 TN Primary

Addresses

Primary practice location

426 21St Ave S
Nashville, TN 37203-2424

Mailing address

974 Greerland Dr
Nashville, TN 37204-4022
Phone (615) 293-3849

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
I20230310002293 TN Practitioner - Physician Assistant 2062885148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tennessee Style Weight Loss LLCGroup PAC ID 1951750595, 5 clinicians

Practice addresses (Care Compare)

355 New Shackle Island Rd
Suite 128B
Hendersonville, TN 37075-2399
Phone (615) 492-6116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5360TNMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: morgan.prozan.1@29753.direct.athenahealth.com

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": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1902518921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 GREERLAND DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372044022",
            "telephone_number": "615-293-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 21ST AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032424",
            "telephone_number": "615-321-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROZAN",
        "first_name": "MORGAN",
        "middle_name": "KATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.