Ch Mssp Services Tn Pllc - Medicare Primary Care in Memphis, TN

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Ch Mssp Services Tn Pllc is a medicare enrolled primary clinic (Internal Medicine) in Memphis, Tennessee. The current practice location for Ch Mssp Services Tn Pllc is 100 Peabody Pl Ste 150, Memphis, Tennessee. For appointments, you can reach them via phone at (337) 991-9276. The mailing address for Ch Mssp Services Tn Pllc is 5750 Johnston St Ste 205, Lafayette, Louisiana and phone number is (337) 408-0797.

Ch Mssp Services Tn Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003575838. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (337) 991-9276.

Contact Information

Ch Mssp Services Tn Pllc
100 Peabody Pl Ste 150
Memphis
TN 38103-3687
(337) 991-9276
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameCh Mssp Services Tn Pllc
SpecialityInternal Medicine
Location100 Peabody Pl Ste 150, Memphis, Tennessee
Authorized Official Name and PositionNicole Howard (SR VP OF ADMINISTRATIVE SERVICES)
Authorized Official Contact3374080797
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ch Mssp Services Tn Pllc
5750 Johnston St Ste 205
Lafayette
LA 70503-5345

Ph: (337) 408-0797		Ch Mssp Services Tn Pllc
100 Peabody Pl Ste 150
Memphis
TN 38103-3687

Ph: (337) 991-9276

NPI Details:

NPI Number1003575838
Provider Enumeration Date12/09/2021
Last Update Date07/24/2025

Medicare PECOS Information:

Medicare PECOS PAC ID0042603656
Medicare Enrollment IDO20220203000451

Medical Identifiers

Medical identifiers for Ch Mssp Services Tn Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003575838NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ch Mssp Services Tn Pllc acts as a billing entity for following providers:
Provider NameCharissa Holt Willis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760473649
PECOS PAC ID: 8628971165
Enrollment ID: I20040130000782
Provider NameEmily R Laird
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770532582
PECOS PAC ID: 5799772687
Enrollment ID: I20040430000926
Provider NameJohnenne Evette Whitmore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477627016
PECOS PAC ID: 9537158530
Enrollment ID: I20040506000741
Provider NameKaye W Borgognoni
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366589830
PECOS PAC ID: 4880782234
Enrollment ID: I20071119000132
Provider NameLadonna M Ledford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073671756
PECOS PAC ID: 7719076520
Enrollment ID: I20071201000160
Provider NameCarolyn Marcum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801067251
PECOS PAC ID: 3476631656
Enrollment ID: I20080429000510
Provider NameAshley Hunt Falkner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356781538
PECOS PAC ID: 8123259892
Enrollment ID: I20140605001625
Provider NameFelesha R Perry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306262993
PECOS PAC ID: 7517187263
Enrollment ID: I20141001002087
Provider NameJordan M Ellis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144636275
PECOS PAC ID: 3173843869
Enrollment ID: I20150520001723
Provider NameElisa Runions
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801262027
PECOS PAC ID: 6406866904
Enrollment ID: I20151023001179
Provider NameStephanie Bell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770993412
PECOS PAC ID: 3476873480
Enrollment ID: I20160411001072
Provider NameSherrika Evans
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144681594
PECOS PAC ID: 1254639875
Enrollment ID: I20160415000742
Provider NameTina Hollis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043724347
PECOS PAC ID: 4880958750
Enrollment ID: I20180430001523
Provider NameAmber Hamm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487196069
PECOS PAC ID: 3274803036
Enrollment ID: I20181106002494
Provider NameAmanda R Mcgriff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508332974
PECOS PAC ID: 7012251671
Enrollment ID: I20181207002069
Provider NameNastassia Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861965667
PECOS PAC ID: 4688914252
Enrollment ID: I20190318001414
Provider NameMelody Felts Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487135026
PECOS PAC ID: 4385079086
Enrollment ID: I20200126000038
Provider NameTerri Wallace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356796262
PECOS PAC ID: 6204191372
Enrollment ID: I20210409000003
Provider NameAmber D. Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891249389
PECOS PAC ID: 5092075069
Enrollment ID: I20210420001272
Provider NameStacie Sowell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710579388
PECOS PAC ID: 0648686717
Enrollment ID: I20210426000294
Provider NameKiwana Derrick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871105320
PECOS PAC ID: 5294132478
Enrollment ID: I20210930003005
Provider NameShenif Ladak
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1376948604
PECOS PAC ID: 5890018501
Enrollment ID: I20220204001818
Provider NameSara Graves
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295324895
PECOS PAC ID: 0143625111
Enrollment ID: I20220404001782
Provider NameVlastimil Smetka
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497974273
PECOS PAC ID: 1658424825
Enrollment ID: I20220412001824
Provider NameLatoria N. Ray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245820901
PECOS PAC ID: 9931596327
Enrollment ID: I20220504001224
Provider NameAshleigh Huntsman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326438466
PECOS PAC ID: 8628395001
Enrollment ID: I20221212002348
Provider NameLisa Rowland Kenny
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508089731
PECOS PAC ID: 2466504956
Enrollment ID: I20230801000879
Provider NameDominique Pinilla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124103965
PECOS PAC ID: 4880604446
Enrollment ID: I20230821000371
Provider NameMargarete Dorris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902686215
PECOS PAC ID: 2769838846
Enrollment ID: I20231025003069
Provider NameLisa Michelle Archer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821732488
PECOS PAC ID: 2567812720
Enrollment ID: I20231229001771
Provider NameBrian Cooper
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366678963
PECOS PAC ID: 0547426223
Enrollment ID: I20240213001039
Provider NameRuth Seeley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295392421
PECOS PAC ID: 3779818737
Enrollment ID: I20240311000884
Provider NameKrista Pritchard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780203075
PECOS PAC ID: 7315343571
Enrollment ID: I20240417003179
Provider NameBritney Hardin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326805441
PECOS PAC ID: 9335589985
Enrollment ID: I20240430000147
Provider NameAnika Boyd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659762458
PECOS PAC ID: 4284075326
Enrollment ID: I20240507003675
Provider NameBridget Nore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306508262
PECOS PAC ID: 8426447988
Enrollment ID: I20240520002434
Provider NameDavid Ward
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922435759
PECOS PAC ID: 2365673464
Enrollment ID: I20241001000629
Provider NameVictoria Randall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396478830
PECOS PAC ID: 2466834023
Enrollment ID: I20241022005223
Provider NameEmily Gibson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861928061
PECOS PAC ID: 5991077745
Enrollment ID: I20241113001641
Provider NameMia Stroble
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215575956
PECOS PAC ID: 7618398918
Enrollment ID: I20241211003835
Provider NameMegan Abbott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063889749
PECOS PAC ID: 0446550974
Enrollment ID: I20250117003002
Provider NameLeah Parker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063024198
PECOS PAC ID: 0244641132
Enrollment ID: I20250131003120
Provider NameLeslie Dawn Sheffield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538532528
PECOS PAC ID: 5799089157
Enrollment ID: I20250203001312
Provider NameKelly Powell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851062822
PECOS PAC ID: 5991189896
Enrollment ID: I20250212000311
Provider NameAnahita Sharghy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134761828
PECOS PAC ID: 2264952753
Enrollment ID: I20250227002103
Provider NameCoreen Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952957722
PECOS PAC ID: 6608209861
Enrollment ID: I20250421001024
Provider NameErin C Poss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770371262
PECOS PAC ID: 8820516354
Enrollment ID: I20250519000630

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.