| Care Memphis Clinic | |
|
493 Dr Ml King Jr Ave Memphis TN 38126-2548 | |
| (901) 526-0802 | |
| (901) 525-4483 |
| Full Name | Care Memphis Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 493 Dr Ml King Jr Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Melissa B Foner (OWNER, PHYSICIAN ASSISTANT - CERTIF) |
| Authorized Official Contact | 9016524250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Memphis Clinic 215 Buntyn St Memphis TN 38111-1609 Ph: (901) 652-4250 | Care Memphis Clinic 493 Dr Ml King Jr Ave Memphis TN 38126-2548 Ph: (901) 526-0802 |
| NPI Number | 1396192746 |
|---|---|
| Provider Enumeration Date | 05/16/2016 |
| Last Update Date | 07/21/2022 |
| Certification Date | 09/08/2020 |
| Medicare PECOS PAC ID | 2860785052 |
|---|---|
| Medicare Enrollment ID | O20160726001527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396192746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 2811 (Tennessee) | Primary |
| Provider Name | Robert Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063530871 PECOS PAC ID: 7214003888 Enrollment ID: I20080904000630 |
| Provider Name | Allyson B Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407115579 PECOS PAC ID: 0143485219 Enrollment ID: I20120625000067 |
| Provider Name | Natalie Birch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831561828 PECOS PAC ID: 3870803406 Enrollment ID: I20151110001794 |
| Provider Name | Melissa B Foner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184091407 PECOS PAC ID: 4385945773 Enrollment ID: I20151208002612 |
| Provider Name | Jose Carrion |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952778276 PECOS PAC ID: 2062702384 Enrollment ID: I20160527000922 |
| Provider Name | Kyrstyn N Mcneill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629572268 PECOS PAC ID: 0840555231 Enrollment ID: I20180606001847 |
| Provider Name | Corey a Robinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285083717 PECOS PAC ID: 5294070371 Enrollment ID: I20181218001524 |
| Provider Name | Lillian Funkhouser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174014948 PECOS PAC ID: 5890127997 Enrollment ID: I20191111002506 |
| Provider Name | Michelle Denise Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497388912 PECOS PAC ID: 4880004936 Enrollment ID: I20201102000882 |
| Provider Name | Jacquelyn D Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912513987 PECOS PAC ID: 4789095134 Enrollment ID: I20201116003205 |
| Provider Name | Ashley Gross |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154992048 PECOS PAC ID: 8729478748 Enrollment ID: I20211207001168 |
| Provider Name | Tasha Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962155846 PECOS PAC ID: 9638562796 Enrollment ID: I20220214000304 |
| Provider Name | Trudy Dionne Tyler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235616921 PECOS PAC ID: 6507250636 Enrollment ID: I20220415000722 |
| Provider Name | Kiesha Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780262014 PECOS PAC ID: 7214306406 Enrollment ID: I20230109002687 |
| Provider Name | Portia Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578252276 PECOS PAC ID: 2769840263 Enrollment ID: I20230615000328 |
| Provider Name | Mary Leshanta Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033960604 PECOS PAC ID: 7012457401 Enrollment ID: I20240912000738 |
| Provider Name | Candice Deneice Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235963604 PECOS PAC ID: 4486189966 Enrollment ID: I20241120002670 |
| Provider Name | Toya Lavonda Lofton-pratcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235921974 PECOS PAC ID: 5991224230 Enrollment ID: I20250529002032 |
Christ Commuity Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3360 S 3rd St, Memphis, TN 38109 Phone: 901-842-3160 Fax: 901-842-2360 |
CH Mssp Services TN PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Peabody Pl Ste 150, Memphis, TN 38103 Phone: 337-991-9276 |
Preventivemd, PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1407 Union Ave Ste 305, Memphis, TN 38104 Phone: 901-609-2444 |
Jerry M Holley MD PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4100 Austin Peay Hwy, Memphis, TN 38128 Phone: 901-486-1151 Fax: 901-844-1439 |
Spirit Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1331 Union Ave Ste 1240, Memphis, TN 38104 Phone: 901-832-6734 |
We Care Community Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1419 Breedlove St, Memphis, TN 38107 Phone: 901-484-3357 |