Individual provider Active NPI

Melissa Reeves Morgan, PA-C

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1942590625
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1951 Issued in TN
Practice address
10810 Parkside Dr Ste 201
Knoxville, TN 37934-1983
Phone
(865) 392-9220
Fax
(865) 392-9221
NPI assigned
Apr 14, 2011
Last updated
May 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1951 TN Primary
Medical Technologist 246QM0706X ML0000021542 TN

Addresses

Primary practice location

10810 Parkside Dr Ste 201
Knoxville, TN 37934-1983

Mailing address

10810 Parkside Dr Ste 201
Knoxville, TN 37934-1983
Phone (865) 392-9220

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
I20111115000760 TN Practitioner - Physician Assistant 9032383773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Tennessee Colon and Rectal Surgical Associates PCGroup PAC ID 5092864025, 2 clinicians

Practice addresses (Care Compare)

10810 Parkside Dr
Suite 201
Knoxville, TN 37934-1983
Phone 8653929220230

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
36.94 of 100Reported as group
Quality
0
Improvement activities
20
Cost
73.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ML0000021542TNMDMedical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Consultants at Cedar Bluff Past Accepting new patients
Knoxville Hma Physician Management, LLC Physician Assistant PastSince May 29, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1942590625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE 201",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341983",
            "telephone_number": "865-392-9220",
            "fax_number": "865-392-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE 201",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341983",
            "telephone_number": "865-392-9220",
            "fax_number": "865-392-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "MELISSA",
        "middle_name": "REEVES",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1951",
            "primary": true
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "TN",
            "license": "ML0000021542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.