MARY MARTIN MOGAN (NPI# 1326420324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326420324 |
| Entity Type | Individual |
| Full Name | MARY MARTIN MOGAN |
| Credential | APN |
| Practice Address |
300 Stonecrest Blvd Suite 410 Smyrna TN 37167-5688 |
| Practice Telephone | 6152206144 |
| Mailing Telephone | 6152206144 |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APN0000019556 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 STONECREST BLVD SUITE 410 |
| City | SMYRNA |
| State | TN |
| Zip Code | 37167-5688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891791471 | Louis T Riley | Obstetrics & Gynecology | 300 Stonecrest Blvd, Ste 490, Smyrna, TN 37167-6817 | 2005-06-28 |
| 1245686906 | Sarah Elizabeth Lawson | Occupational Therapist | 300 Stonecrest Blvd, Suite 300, Smyrna, TN 37167-5688 | 2016-05-11 |
| 1346641156 | Mistye Taylor Md Pllc | Obstetrics & Gynecology | 300 Stonecrest Blvd, 490, Smyrna, TN 37167-5688 | 2014-09-11 |
| 1235548520 | Womens Imaging Solutions Plc | Obstetrics & Gynecology | 300 Stonecrest Blvd, Suite 290, Smyrna, TN 37167-5688 | 2014-08-12 |
| 1205258456 | Haylee Elise Flynn | Nurse Practitioner | 300 Stonecrest Blvd, Suite 410, Smyrna, TN 37167-5688 | 2014-01-07 |
| 1891035606 | Neurology Consults, P.C. | Psychiatry & Neurology | 300 Stonecrest Blvd, Suite 260, Smyrna, TN 37167-5688 | 2013-02-15 |
| 1518205897 | Cardiovascular Institute PC | Internal Medicine | 300 Stonecrest Blvd, Suite 210, Smyrna, TN 37167 | 2013-01-22 |
| 1780936583 | Matthew Lakey Gaston | Physician Assistant | 300 Stonecrest Blvd, Suite300, Smyrna, TN 37167-5688 | 2012-10-04 |
| 1144576836 | Community Pharmacy of Smyrna LLC | Pharmacy | 300 Stonecrest Blvd, Ste 130, Smyrna, TN 37167-5688 | 2012-07-31 |
| 1467716142 | Providence Obstetrics and Gynecology, Pllc | Obstetrics & Gynecology | 300 Stonecrest Blvd, Suite 250, Smyrna, TN 37167-5688 | 2012-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708864 | Results-ast Jv, LLC | Physical Therapist | 741 Presidents Place, Suite 130, Smyrna, TN 37167 | 2020-10-21 |
| 1659834455 | Jemima Mensah | Nurse Practitioner | 433 Nissan Dr Ste 301, Smyrna, TN 37167 | 2019-04-09 |
| 1538645395 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 111 Movie Row, Smyrna, TN 37167 | 2018-07-16 |
| 1932699915 | Jessica Jones | Physical Therapist | 8414, 1173 Rock Springs Rd, Suite 105, Smyrna, TN 37167 | 2018-05-15 |
| 1962920256 | Faithful Horizons Support Services, Inc. | Respite Care | 204 Spirit Hill Circle, Smyrna, TN 37167 | 2017-09-06 |
| 1386185270 | Marie Murphy | Counselor | 695 President Place, Ste 202, Smyrna, TN 37167 | 2017-03-13 |
| 1932556990 | Tamara Tucker | Social Worker | 680 Windellwood Circle, Smyrna, TN 37167 | 2016-05-19 |
| 1861861056 | Tennessee Dental Professionals, PC | Dentist | 840 Nissan Drive, Smyrna, TN 37167 | 2015-09-18 |
| 1669840211 | Smyrna Modern Dentistry, PC | Dentist | 160 Movie Row, Smyrna, TN 37167 | 2015-09-11 |
| 1548636970 | Hometown Respiratory Consultants Inc | Durable Medical Equipment & Medical Supplies | 13181 Old Nashville Hwy Ste 120, Smyrna, TN 37167 | 2015-08-19 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215546783 | Aiyana P Hayes | Nurse Practitioner | 643 Concord Lake Cir Se, Smyrna, GA 30082-2630 | 2020-07-30 |
| 1609952688 | Johnetta Gigi Thompson | Nurse Practitioner | 3240 S Cobb Dr Se, Smyrna, GA 30080-4194 | 2006-10-31 |
| 1598858615 | Robert Bumgardner | Nurse Practitioner | 3080 Highlands Pkwy Se, Smyrna, GA 30082-5181 | 2006-10-02 |
| 1093342420 | Tanisha Lafayette | Nurse Practitioner | 38 Deak Dr, Smyrna, DE 19977-1268 | 2020-03-25 |
| 1396234282 | Physicals Plus | Nurse Practitioner | 3188 Atlanta Rd Se, Smyrna, GA 30080-8256 | 2018-05-07 |
| 1932627882 | Raina Kelly Tomlinson | Nurse Practitioner | 515 Stonecrest Pkwy Ste 230, Smyrna, TN 37167-6829 | 2017-08-30 |
| 1790227676 | Marsha Ann Nau | Nurse Practitioner | 401 N Carter Rd Ste 201, Smyrna, DE 19977-1213 | 2016-11-09 |
| 1093190373 | Michele Renee Lee | Nurse Practitioner | 739 President Pl, Smyrna, TN 37167-6844 | 2015-07-28 |
| 1013300045 | Casey M Meeks | Nurse Practitioner | 741 President Pl, Suite 200, Smyrna, TN 37167-6807 | 2015-03-16 |
| 1720495112 | Marci Christine Etheridge | Nurse Practitioner | 13181 Old Nashville Hwy, Suite 150, Smyrna, TN 37167-4032 | 2014-07-17 |
| Find all providers in SMYRNA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.