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 NU (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
Certification 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 (NU)Primary
363L00000XNurse Practitioner (NU)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 NameJohnenne Evette Whitmore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477627016
PECOS PAC ID: 9537158530
Enrollment ID: I20040506000741
Provider NameBruce a Wallstedt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770578882
PECOS PAC ID: 7810976545
Enrollment ID: I20040716000336
Provider NameShanna L Wilkes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306878202
PECOS PAC ID: 3476552076
Enrollment ID: I20061208000253
Provider NameKaye W Borgognoni
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366589830
PECOS PAC ID: 4880782234
Enrollment ID: I20071119000132
Provider NameJeffrey H Beard
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1851540223
PECOS PAC ID: 7214005131
Enrollment ID: I20081006000304
Provider NameMillie a Tremlett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598917452
PECOS PAC ID: 6305908799
Enrollment ID: I20081218000481
Provider NameMohamad K Moughrabieh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063679827
PECOS PAC ID: 6406917269
Enrollment ID: I20090610000024
Provider NameKimberly R Tucker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992874168
PECOS PAC ID: 0840292421
Enrollment ID: I20110307000722
Provider NameAshley Hunt Falkner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356781538
PECOS PAC ID: 8123259892
Enrollment ID: I20140605001625
Provider NameLeanne Parchman Venable
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962684878
PECOS PAC ID: 9739311101
Enrollment ID: I20140616000813
Provider NameFelesha R Perry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306262993
PECOS PAC ID: 7517187263
Enrollment ID: I20141001002087
Provider NameAmanda Wright-brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982013751
PECOS PAC ID: 8921229584
Enrollment ID: I20141023001146
Provider NameElisabeth Batson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629472832
PECOS PAC ID: 0749507812
Enrollment ID: I20150330001258
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 NameSherrika Evans
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144681594
PECOS PAC ID: 1254639875
Enrollment ID: I20160415000742
Provider NameRona Darlene Siscoe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801272257
PECOS PAC ID: 8921378258
Enrollment ID: I20170719003473
Provider NameMatthew Abram
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780106245
PECOS PAC ID: 9830465418
Enrollment ID: I20171026000834
Provider NameBrandy Shephard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073965141
PECOS PAC ID: 0648537878
Enrollment ID: I20171127001272
Provider NameBrittany R Rauchle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992223473
PECOS PAC ID: 7810255387
Enrollment ID: I20171212000469
Provider NameAlicia Landers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548794910
PECOS PAC ID: 8224393046
Enrollment ID: I20180529001454
Provider NameElizabeth a Hinton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821523598
PECOS PAC ID: 0648529032
Enrollment ID: I20180817001638
Provider NameLatoya Gordon Niles
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1093882532
PECOS PAC ID: 4183624943
Enrollment ID: I20181010000237
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 NameLindsey N Davenport
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1780155267
PECOS PAC ID: 6709127731
Enrollment ID: I20190401001192
Provider NameTammy Lynn Gathings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679133318
PECOS PAC ID: 2961731823
Enrollment ID: I20190903001323
Provider NameMelody Felts Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487135026
PECOS PAC ID: 4385079086
Enrollment ID: I20200126000038
Provider NameJanna Casey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881238533
PECOS PAC ID: 5799111282
Enrollment ID: I20200131000535
Provider NameAmber D. Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891249389
PECOS PAC ID: 5092075069
Enrollment ID: I20210420001272
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 NameGeraldine K Uche-jennings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851048227
PECOS PAC ID: 6608250790
Enrollment ID: I20220909000216
Provider NameAshleigh Huntsman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326438466
PECOS PAC ID: 8628395001
Enrollment ID: I20221212002348
Provider NameJerry Yale
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669586442
PECOS PAC ID: 3870675515
Enrollment ID: I20230103001562
Provider NameAngela Renee Uta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659086494
PECOS PAC ID: 2961867387
Enrollment ID: I20230508000996
Provider NameMargarete Dorris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902686215
PECOS PAC ID: 2769838846
Enrollment ID: I20231025003069
Provider NameLauren a Beaumarchais
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1891048385
PECOS PAC ID: 5496990509
Enrollment ID: I20231026003442
Provider NameJenae Henderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568153443
PECOS PAC ID: 1658714878
Enrollment ID: I20240205002797
Provider NameBrian Cooper
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366678963
PECOS PAC ID: 0547426223
Enrollment ID: I20240213001039
Provider NameColin Kelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215488879
PECOS PAC ID: 2365721172
Enrollment ID: I20240418000984
Provider NameBritney Hardin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326805441
PECOS PAC ID: 9335589985
Enrollment ID: I20240430000147
Provider NameAmber Nikole Freeman
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1699045823
PECOS PAC ID: 7315998606
Enrollment ID: I20240807004339
Provider NameVictoria Randall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396478830
PECOS PAC ID: 2466834023
Enrollment ID: I20241022005223
Provider NameRamon Trinidad
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588211627
PECOS PAC ID: 2860829355
Enrollment ID: I20241104000209
Provider NameEmily Gibson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861928061
PECOS PAC ID: 5991077745
Enrollment ID: I20241113001641
Provider NameSavannah Randolph
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164872529
PECOS PAC ID: 8123312121
Enrollment ID: I20241223000356
Provider NamePamela a Bende
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154159887
PECOS PAC ID: 0446788251
Enrollment ID: I20250107003588
Provider NameJohn Willard Morrison
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245525658
PECOS PAC ID: 8628379005
Enrollment ID: I20250115000925
Provider NameAshley Hendricks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073025730
PECOS PAC ID: 4486913944
Enrollment ID: I20250129000068
Provider NameLeah Parker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063024198
PECOS PAC ID: 0244641132
Enrollment ID: I20250131003120
Provider NameLeslie 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 NameCoreen Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952957722
PECOS PAC ID: 6608209861
Enrollment ID: I20250421001024
Provider NameElizabeth Elwood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396542833
PECOS PAC ID: 5092232470
Enrollment ID: I20250508002600
Provider NameErin C Poss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770371262
PECOS PAC ID: 8820516354
Enrollment ID: I20250519000630
Provider NameCindy Evon Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740424811
PECOS PAC ID: 6901947878
Enrollment ID: I20250520000571
Provider NameAdemola Aremu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356796916
PECOS PAC ID: 1052603768
Enrollment ID: I20250721002104
Provider NameChinyere Okorie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689914277
PECOS PAC ID: 0446646434
Enrollment ID: I20251023000000
Provider NameJillian Benoit
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467999367
PECOS PAC ID: 2668756040
Enrollment ID: I20260319001256
Provider NameJennifer Barney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245626472
PECOS PAC ID: 3072858893
Enrollment ID: I20260526001307
Provider NameIfeoma Dimkpa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780961938
PECOS PAC ID: 2668634445
Enrollment ID: I20260612001760

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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.