1. Home
  2. Directory
  3. Tennessee
  4. Jackson
  5. Nurse Practitioner
  6. NPI Profile

MORGAN HOPE MAHAN CPNP-PC
NPI 1629590369
Nurse Practitioner - Pediatrics in Jackson, TN

Active since July 14, 2017PECOS Enrolled
19 SECURITY DR, JACKSON, TN 38305(731) 664-9040(731) 664-9041 Get Directions Write a Review

NPPES record last updated: April 25, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 25, 2019, Aug 29, 2017, Jul 14, 2017 (3 updates tracked since 2017).

About Morgan Hope Mahan Cpnp-pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MORGAN HOPE MAHAN CPNP-PC (NPI 1629590369) is an individual pediatrics provider in Jackson, Tennessee, licensed in Tennessee (22789) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629590369
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMORGAN HOPE MAHANCredential: CPNP-PC
Location Address19 SECURITY DRJackson, TN 38305
Mailing Address272 Heritage SqMedina, TN 38355-2102 · (731) 414-4957
Phone(731) 664-9040
Fax(731) 664-9041
Sole ProprietorNo
Enumeration DateJuly 14, 2017
Last NPPES UpdateApril 25, 20193 updates tracked since enumeration
✔ NPI 1629590369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TN · 22789
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 22789 (TN)
19 SECURITY DR, Jackson, TN 38305
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11636 E Main StHumboldt, TN 38343-2904 · Phone (731) 784-7833 · Fax (731) 784-7856
Location 219 Security DrJackson, TN 38305 · Phone (731) 664-9040 · Fax (731) 664-9041

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Morgan Hope Mahan Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Morgan Mahan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rainbow Pediatric PC
8.7 mi
Rural Health
3535 CHERE CAROL RD
Humboldt, TN 38343
  • Reassigned Medicare billing, Tennessee enrollment
  • 5 clinicians in this Medicare group
NPI 1255474300 (731) 784-7833

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WEST TENNESSEE HAND CENTER, PLLC
Orthopaedic Surgery (Hand Surgery)
19 SECURITY DR
JACKSON, TN 38305
Madison County (731) 256-8300
ALEXANDRA BRITTAIN
Nurse Practitioner (Pediatrics)
19 SECURITY DR
JACKSON, TN 38305
Madison County (731) 664-9040
LENTZ PEDIATRICS, PLC
Pediatrics
19 SECURITY DR
JACKSON, TN 38305
Madison County (731) 664-9040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Morgan Mahan's NPI number?

The NPI number for Morgan Mahan is 1629590369. It was assigned to this individual provider in the NPPES registry on July 14, 2017.

Where is Morgan Mahan located?

Morgan Mahan practices at 19 Security Dr, Jackson, TN 38305. The listed phone number is (731) 664-9040.

What is Morgan Mahan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Morgan Mahan enrolled in Medicare?

Yes. Morgan Mahan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Morgan Mahan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Morgan Mahan reassigns Medicare benefits to Rainbow Pediatric PC (Humboldt, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Morgan Mahan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Morgan Mahan was last updated on April 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.