DR. JON MALLORY MCRAE III MD
NPI 1780487405
Student in an Organized Health Care Education/Training Program in Memphis, TN

Q: What is Jon Mcrae's NPI number?

The NPI number for Jon Mcrae is 1780487405. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Q: What is Jon Mcrae's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jon Mcrae was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since March 28, 2025PECOS Enrolled

920 MADISON AVE SUITE 447, MEMPHIS, TN 38163(615) 284-3387 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2025, Mar 28, 2025 (2 updates tracked since 2025).

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About Dr. Jon Mallory Mcrae Iii Md NPPES

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

DR. JON MALLORY MCRAE III MD (NPI 1780487405) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1780487405

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. JON MALLORY MCRAE IIICredential: MD

Location Address920 MADISON AVE SUITE 447Memphis, TN 38163-1803

Mailing Address200 Church StNashville, TN 37201-1613

Phone(615) 284-3387

Sole ProprietorYes

Enumeration DateMarch 28, 2025

Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration

NPPES CertifiedMarch 31, 2025

✔ NPI 1780487405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

920 MADISON AVE SUITE 447, Memphis, TN 38163

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Secondary Practice Location 1

Location 11633 1st AveColumbus, GA 31901-1803 · Phone (800) 637-2378

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jon Mallory Mcrae Iii Md 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.

Other Providers at the Same Location NPPES 17

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

VENKATA SATHYA BURLE

Student in an Organized Health Care Education/Training Program