Individual provider Active NPI

Mary Katherine Pelot

  • Medical Physician Assistant
  • Brentwood, TN
National Provider Identifier
1992242325
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3205 Issued in TN
Practice address
6690 Nolensville Rd
Brentwood, TN 37027-8803
Phone
(615) 941-7670
NPI assigned
Jan 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3205 TN Primary

Addresses

Primary practice location

6690 Nolensville Rd
Brentwood, TN 37027-8803

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

Other practice location 1

2325 Memorial Blvd
Murfreesboro, TN 37129-5108
Phone (615) 225-0290

Other practice location 2

3054 Columbia Ave
Franklin, TN 37064
Phone (615) 550-0091

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
I20170223002080 TN Practitioner - Physician Assistant 7315221090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Tennessee, HSC, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Tennessee LLCGroup PAC ID 4688762800, 132 clinicians

Practice addresses (Care Compare)

1418 W Main St
Lebanon, TN 37087-3380
Phone (615) 453-7720

143 Henslee Dr
Dickson, TN 37055-2092
Phone (615) 441-5580

210 Franklin Rd
Suite 100
Brentwood, TN 37027-3218
Phone (615) 393-6550

3054 Columbia Ave
Franklin, TN 37064-7424
Phone (615) 550-0091

401 S Mount Juliet Rd
Mount Juliet, TN 37122-6359
Phone (615) 758-1524

463 Sam Ridley Pkwy W
Smyrna, TN 37167-5626
Phone (615) 768-4258

6690 Nolensville Rd
Brentwood, TN 37027-8803
Phone (615) 941-7670

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
71.04
Promoting interoperability
100
Improvement activities
40
Cost
81.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3205TNMDClinical Psychologist

Interoperability endpoints

  • Direct secure messaging: mary.pelot@krogerhealth.eclinicaldirectplus.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": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1992242325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6690 NOLENSVILLE RD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278803",
            "telephone_number": "615-941-7670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2325 Memorial Blvd",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371295108",
            "country_code": "US",
            "telephone_number": "615-225-0290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3054 Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "37064",
            "country_code": "US",
            "telephone_number": "615-550-0091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELOT",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "3205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.