| Case Management Inc | |
|
3171 Directors Row Memphis TN 38131-0405 | |
| (901) 821-5600 | |
| (901) 821-5864 |
| Full Name | Case Management Inc |
|---|---|
| Speciality | Case Management |
| Location | 3171 Directors Row, Memphis, Tennessee |
| Authorized Official Name and Position | Florence Hervery (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9018215835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Case Management Inc 3171 Directors Row Memphis TN 38131-0405 Ph: (901) 821-5600 | Case Management Inc 3171 Directors Row Memphis TN 38131-0405 Ph: (901) 821-5600 |
| NPI Number | 1326116476 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5991807570 |
|---|---|
| Medicare Enrollment ID | O20070228000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326116476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | L2140866334 (Tennessee) | Primary |
| Provider Name | George M Mangle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639193311 PECOS PAC ID: 8729087960 Enrollment ID: I20070927000651 |
| Provider Name | Kenny N Terry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902991706 PECOS PAC ID: 2668569914 Enrollment ID: I20080114000196 |
| Provider Name | Lucas A Trautman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497978258 PECOS PAC ID: 4981742590 Enrollment ID: I20091118000465 |
| Provider Name | Gregory Washington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891984571 PECOS PAC ID: 0941385785 Enrollment ID: I20120510000106 |
| Provider Name | Kristin K Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982154936 PECOS PAC ID: 7315227832 Enrollment ID: I20161129001442 |
| Provider Name | Gerald Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326416736 PECOS PAC ID: 2769759380 Enrollment ID: I20170601001057 |
| Provider Name | Carla R Slayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144420829 PECOS PAC ID: 9032262878 Enrollment ID: I20170921000583 |
| Provider Name | Stephanie D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518473123 PECOS PAC ID: 6901152057 Enrollment ID: I20180705001428 |
| Provider Name | James Leroy Longmire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508376393 PECOS PAC ID: 7416203005 Enrollment ID: I20180712001192 |
| Provider Name | Laura Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679761951 PECOS PAC ID: 8729316328 Enrollment ID: I20190820003952 |
| Provider Name | Lawanda Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740791722 PECOS PAC ID: 1850647389 Enrollment ID: I20210820000892 |
| Provider Name | Destinee Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821746140 PECOS PAC ID: 8426436015 Enrollment ID: I20220610000668 |
| Provider Name | Kendra Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861139081 PECOS PAC ID: 1355722430 Enrollment ID: I20220720003202 |
| Provider Name | Javita Glasper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285372813 PECOS PAC ID: 1153705611 Enrollment ID: I20220831004057 |
| Provider Name | Deronda Vynette Terry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639265085 PECOS PAC ID: 3971047622 Enrollment ID: I20240705000437 |
| Provider Name | Argaret Shonta Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154966067 PECOS PAC ID: 2961949565 Enrollment ID: I20241205003969 |
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