Morgan Mahan, CPNP-PC
NPI 1629590369 · Pediatric Nurse Practitioner · Jackson, TN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Morgan Mahan, CPNP-PC is a Pediatric Nurse Practitioner provider in Jackson, TN (NPI 1629590369).
Provider details
- NPI number
- 1629590369
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- License
- 22789 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1636 E Main StHumboldt, TN 38343-2904Phone: (731) 784-7833Fax: (731) 784-7856
- 19 Security DrJackson, TN 38305Phone: (731) 664-9040Fax: (731) 664-9041
Registry dates
- Enumerated
- 2017-07-14
- Last updated
- 2019-04-25
Frequently asked questions
- What is Morgan Mahan's NPI number?
- Morgan Mahan's National Provider Identifier (NPI) is 1629590369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Morgan Mahan's specialty?
- Morgan Mahan is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Morgan Mahan located?
- Morgan Mahan's practice location on file with NPPES is 19 Security Dr, Jackson, TN 38305.
- What is Morgan Mahan's phone number?
- The practice phone number listed in the NPPES registry for Morgan Mahan is (731) 664-9040.
- Does Morgan Mahan accept Medicare?
- Morgan Mahan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Morgan Mahan's NPI active?
- Yes — Morgan Mahan's NPI (1629590369) is active in the NPPES registry as of the last update on 2019-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.