Individual provider Active NPI

Margeaux Clements, FNP

  • Nurse Practitioner
  • Greeneville, TN
National Provider Identifier
1902941024
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
12281 Issued in TN
Practice address
1021 Coolidge Street
Suite 3
Greeneville, TN 37743-4676
Phone
(423) 636-0702
Fax
(423) 636-0709
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Takoma Regional Hospital Inc 28 clinicians

Practice addresses (Care Compare)

438 E Vann Rd
Greeneville, TN 37743-7202

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Morristown, TN, CCN 447190
  • Greeneville Community Hospital Hospital, Greeneville, TN, CCN 440050
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063
  • Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017
  • Franklin Woods Community Hospital Hospital, Johnson City, TN, CCN 440184

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
I20070807000817 TN Practitioner - Nurse Practitioner 8628169554 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Takoma Regional Hospital Inc CurrentSince May 1, 2007 Accepting new patients
Takoma Regional Hospital, Inc CurrentSince May 1, 2007 Accepting new patients
JJ&R Emergency Group of Tennessee, P.C. Past Accepting new patients

Locations

438 E Vann Rd
Ste 100
Greeneville, TN 37743
Phone (423) 278-1700

401 Takoma Ave
Greeneville, TN 37743
Phone (423) 639-3151

1744 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 636-8891

438 E Vann Rd
Ste 200
Greeneville, TN 37743
Phone (423) 278-1704

1021 Coolidge St
Ste 3
Greeneville, TN 37743
Phone (423) 636-0702

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 12281 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

1021 Coolidge Street
Suite 3
Greeneville, TN 37743-4676

Mailing address

PO Box 37087
Baltimore, MD 21297-3087
Phone (828) 687-6282

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
3341153MedicaidTN
7004059MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2015.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1902941024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37087",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973087",
            "telephone_number": "828-687-6282",
            "fax_number": "828-687-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 COOLIDGE STREET",
            "address_2": "SUITE 3",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377434676",
            "telephone_number": "423-636-0702",
            "fax_number": "423-636-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "MARGEAUX",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "12281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3341153",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004059",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.