| Consolidated Medical Practices Of Memphis,pllc | |
|
6799 Great Oaks Rd Memphis TN 38138-2588 | |
| (901) 821-8300 | |
| Not Available |
| Full Name | Consolidated Medical Practices Of Memphis,pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6799 Great Oaks Rd, Memphis, Tennessee |
| Authorized Official Name and Position | Scott Vogelsang (COO) |
| Authorized Official Contact | 9012615774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Consolidated Medical Practices Of Memphis,pllc 6799 Great Oaks Rd Ste 250 Memphis TN 38138-2584 Ph: (901) 821-8300 | Consolidated Medical Practices Of Memphis,pllc 6799 Great Oaks Rd Memphis TN 38138-2588 Ph: (901) 821-8300 |
| NPI Number | 1508027491 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 04/08/2026 |
| Medicare PECOS PAC ID | 1759459845 |
|---|---|
| Medicare Enrollment ID | O20081002000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508027491 | NPI | - | NPPES |
| Provider Name | Kashif A Latif |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902913692 PECOS PAC ID: 8820982531 Enrollment ID: I20040212000556 |
| Provider Name | Angela D Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275601346 PECOS PAC ID: 5092603050 Enrollment ID: I20040310000399 |
| Provider Name | Allison M Stiles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013904895 PECOS PAC ID: 7315931029 Enrollment ID: I20040414000231 |
| Provider Name | Stephen C Threlkeld |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578530895 PECOS PAC ID: 4688662612 Enrollment ID: I20040506000191 |
| Provider Name | Belinda L Presley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639114671 PECOS PAC ID: 2062401805 Enrollment ID: I20040507000946 |
| Provider Name | Mohammad N Qureshi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104833326 PECOS PAC ID: 6406845619 Enrollment ID: I20040511001250 |
| Provider Name | Joan M Allmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073516852 PECOS PAC ID: 2466433586 Enrollment ID: I20040525001693 |
| Provider Name | Jeffery S Warren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225056872 PECOS PAC ID: 9537145800 Enrollment ID: I20040628000251 |
| Provider Name | Mary M Hurley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447339312 PECOS PAC ID: 0648244517 Enrollment ID: I20040825000939 |
| Provider Name | Valerie M Watters Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922055631 PECOS PAC ID: 1456326651 Enrollment ID: I20040831001220 |
| Provider Name | Beth G Tobey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770636474 PECOS PAC ID: 4981679925 Enrollment ID: I20040901000715 |
| Provider Name | Janet F Mulroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841209277 PECOS PAC ID: 0345290193 Enrollment ID: I20050128000592 |
| Provider Name | Ashley G Marion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083604060 PECOS PAC ID: 7012969751 Enrollment ID: I20050210000734 |
| Provider Name | Martha K Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710163373 PECOS PAC ID: 5092749283 Enrollment ID: I20050927000540 |
| Provider Name | Edward S Muir |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174539159 PECOS PAC ID: 9234154519 Enrollment ID: I20051006000481 |
| Provider Name | Randy Villanueva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083666234 PECOS PAC ID: 1557388956 Enrollment ID: I20051025000740 |
| Provider Name | Deanna S Elsea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619966900 PECOS PAC ID: 0345268108 Enrollment ID: I20051110000057 |
| Provider Name | Marah J Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760499388 PECOS PAC ID: 5799707634 Enrollment ID: I20051220000806 |
| Provider Name | Mohamed B Shala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841277308 PECOS PAC ID: 3375565625 Enrollment ID: I20051229000590 |
| Provider Name | Stephanie Harmon James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750411088 PECOS PAC ID: 5092739540 Enrollment ID: I20060123000992 |
| Provider Name | Lisa M Woodcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750343190 PECOS PAC ID: 0749295459 Enrollment ID: I20060217000093 |
| Provider Name | David H Iansmith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477585768 PECOS PAC ID: 1052315504 Enrollment ID: I20060914000339 |
| Provider Name | Rose Cohen Ellen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215994595 PECOS PAC ID: 0042216475 Enrollment ID: I20061009000035 |
| Provider Name | Michael G Threlkeld |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356318661 PECOS PAC ID: 1052305612 Enrollment ID: I20070502000097 |
| Provider Name | Imad Omer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356318059 PECOS PAC ID: 4183720535 Enrollment ID: I20070502000280 |
| Provider Name | Laura L Engbretson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265636443 PECOS PAC ID: 0345321279 Enrollment ID: I20080117000211 |
| Provider Name | Stacy M Screws |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528120466 PECOS PAC ID: 0547342081 Enrollment ID: I20080123000560 |
| Provider Name | Sara Lynn Fultz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295701142 PECOS PAC ID: 2365527181 Enrollment ID: I20080304000490 |
| Provider Name | Tommy J Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669440822 PECOS PAC ID: 2668489428 Enrollment ID: I20081007000746 |
| Provider Name | George V Rushing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831159185 PECOS PAC ID: 5294742052 Enrollment ID: I20081007000767 |
| Provider Name | John B Buttross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053370213 PECOS PAC ID: 0840207601 Enrollment ID: I20081008000068 |
| Provider Name | Henry B Stamps |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548373947 PECOS PAC ID: 7214097385 Enrollment ID: I20081119000280 |
| Provider Name | T George Stoev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326154501 PECOS PAC ID: 1951462589 Enrollment ID: I20081202000053 |
| Provider Name | Angela M Peden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659525327 PECOS PAC ID: 2769544725 Enrollment ID: I20081229000600 |
| Provider Name | Ralph Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417005711 PECOS PAC ID: 6305730383 Enrollment ID: I20090414000520 |
| Provider Name | Ara J Hanissian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679649271 PECOS PAC ID: 6608927124 Enrollment ID: I20090623000779 |
| Provider Name | Loretta L Shamley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770728784 PECOS PAC ID: 9133270432 Enrollment ID: I20090626000305 |
| Provider Name | Gina R Hanissian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710053327 PECOS PAC ID: 6204988819 Enrollment ID: I20090713000543 |
| Provider Name | Kathleen H Behnke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104065234 PECOS PAC ID: 2062564628 Enrollment ID: I20090714000143 |
| Provider Name | Karen L Salvaggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851367197 PECOS PAC ID: 8820144058 Enrollment ID: I20090914000194 |
| Provider Name | E Arthur Franklin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467416149 PECOS PAC ID: 0749389302 Enrollment ID: I20091104000081 |
| Provider Name | Albert E Weeks |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1336147263 PECOS PAC ID: 1254329584 Enrollment ID: I20091117000498 |
| Provider Name | Brenda L Heffner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942530373 PECOS PAC ID: 3375687379 Enrollment ID: I20100215000080 |
| Provider Name | Brittney L Ledbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598909129 PECOS PAC ID: 2961547971 Enrollment ID: I20100302000596 |
| Provider Name | Derene E Akins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164530911 PECOS PAC ID: 7618007808 Enrollment ID: I20100615000389 |
| Provider Name | Reuben W Avila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073621827 PECOS PAC ID: 5092845271 Enrollment ID: I20100615000409 |
| Provider Name | Margarita Lamothe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306887187 PECOS PAC ID: 6608907647 Enrollment ID: I20100708000374 |
| Provider Name | Tara C Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891848560 PECOS PAC ID: 8325172364 Enrollment ID: I20100812001025 |
| Provider Name | Lisa M Myers |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992768204 PECOS PAC ID: 8022142751 Enrollment ID: I20100817001341 |
| Provider Name | Maher Ghawji |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134181910 PECOS PAC ID: 6800920448 Enrollment ID: I20100817001592 |
| Provider Name | Elizabeth K Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194956755 PECOS PAC ID: 3870788490 Enrollment ID: I20101109000978 |
| Provider Name | Jodie M Baumtrog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295059186 PECOS PAC ID: 4486849833 Enrollment ID: I20101110001181 |
| Provider Name | Malini Gupta |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164626248 PECOS PAC ID: 6103013867 Enrollment ID: I20101207000512 |
| Provider Name | Ahsan H Kathawala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962453225 PECOS PAC ID: 1759307523 Enrollment ID: I20110202000070 |
| Provider Name | Lisa Wiseman Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184945289 PECOS PAC ID: 1759561970 Enrollment ID: I20110204000756 |
| Provider Name | Nicole L George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548569551 PECOS PAC ID: 3870777642 Enrollment ID: I20110404000324 |
| Provider Name | Gregory Andrew Hanissian |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1033216148 PECOS PAC ID: 7315025004 Enrollment ID: I20111114000743 |
| Provider Name | Shannon E Riedley Malone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659586113 PECOS PAC ID: 6901073477 Enrollment ID: I20120124000675 |
| Provider Name | Nabil Abouchala |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265450233 PECOS PAC ID: 8527062157 Enrollment ID: I20120207000373 |
| Provider Name | Rachel L Faller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518238450 PECOS PAC ID: 8224295621 Enrollment ID: I20120213000211 |
| Provider Name | Jenny R Cavitch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265713689 PECOS PAC ID: 9335302413 Enrollment ID: I20120530000372 |
| Provider Name | Titilola O Akhigbe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437350816 PECOS PAC ID: 4688823842 Enrollment ID: I20121003000199 |
| Provider Name | Brenda Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962704122 PECOS PAC ID: 6103071147 Enrollment ID: I20130225000169 |
| Provider Name | Catherine S Aslin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467793679 PECOS PAC ID: 7719129907 Enrollment ID: I20130819000496 |
| Provider Name | Jessica L Arth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578995890 PECOS PAC ID: 5092941328 Enrollment ID: I20131115000366 |
| Provider Name | Tammy K Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710285606 PECOS PAC ID: 3779719646 Enrollment ID: I20131125000192 |
| Provider Name | Cindy G Katz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104033984 PECOS PAC ID: 6800023235 Enrollment ID: I20131210002208 |
| Provider Name | Wendy A Remmers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497181937 PECOS PAC ID: 8022248582 Enrollment ID: I20140228000685 |
| Provider Name | Raza U Hashmi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1700089521 PECOS PAC ID: 1557427671 Enrollment ID: I20140325002072 |
| Provider Name | Katherine L Lohman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942230065 PECOS PAC ID: 3375546310 Enrollment ID: I20140414001311 |
| Provider Name | Charles Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073935425 PECOS PAC ID: 3779716097 Enrollment ID: I20140512000840 |
| Provider Name | Mary Spangler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275959256 PECOS PAC ID: 2769607456 Enrollment ID: I20140714002152 |
| Provider Name | Mary Kathleen Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053735282 PECOS PAC ID: 1052537685 Enrollment ID: I20140717000287 |
| Provider Name | Estella V Watson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699096313 PECOS PAC ID: 0648416321 Enrollment ID: I20140910002158 |
| Provider Name | Samantha Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063826840 PECOS PAC ID: 7315168424 Enrollment ID: I20141014001745 |
| Provider Name | Aditee Kulkarni Satpute |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558523688 PECOS PAC ID: 5799951877 Enrollment ID: I20141020002116 |
| Provider Name | Jennifer P Jurado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780012773 PECOS PAC ID: 4587986997 Enrollment ID: I20141212001810 |
| Provider Name | Alison R Berger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245648716 PECOS PAC ID: 2769705615 Enrollment ID: I20141229000755 |
| Provider Name | Brianna Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679962765 PECOS PAC ID: 4789900341 Enrollment ID: I20150226001190 |
| Provider Name | Casie F Coats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467852814 PECOS PAC ID: 0042537862 Enrollment ID: I20150316001323 |
| Provider Name | Sandra K Tuhy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497148837 PECOS PAC ID: 9739407867 Enrollment ID: I20150421001076 |
| Provider Name | Kate Weeden Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114310711 PECOS PAC ID: 5991025223 Enrollment ID: I20150527002304 |
| Provider Name | James C Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285019380 PECOS PAC ID: 6709194509 Enrollment ID: I20150928002429 |
| Provider Name | Audra Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063882280 PECOS PAC ID: 9234448796 Enrollment ID: I20151023000080 |
| Provider Name | Brenda L Goings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477925600 PECOS PAC ID: 6002111887 Enrollment ID: I20160217000793 |
| Provider Name | Lauren Poindexter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699135871 PECOS PAC ID: 1254638794 Enrollment ID: I20160328001315 |
| Provider Name | Laurie Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922459775 PECOS PAC ID: 8022300797 Enrollment ID: I20160718000561 |
| Provider Name | Audra Gehan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790184349 PECOS PAC ID: 8921391087 Enrollment ID: I20160727000245 |
| Provider Name | Pamela Bariola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598800237 PECOS PAC ID: 2264400811 Enrollment ID: I20161019000579 |
| Provider Name | Linda Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174071633 PECOS PAC ID: 9931483872 Enrollment ID: I20170221001946 |
| Provider Name | Sally Michell Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295278984 PECOS PAC ID: 6901183417 Enrollment ID: I20170511000847 |
| Provider Name | Devinn Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497206908 PECOS PAC ID: 1355619099 Enrollment ID: I20170621000787 |
| Provider Name | Jeremy Scott Avila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497198865 PECOS PAC ID: 8123321031 Enrollment ID: I20170714001399 |
| Provider Name | Elizabeth Sykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730615709 PECOS PAC ID: 0749547495 Enrollment ID: I20171205001234 |
| Provider Name | Katherine N Forsdick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669982682 PECOS PAC ID: 6608135256 Enrollment ID: I20180106000012 |
| Provider Name | Kristie D Nowak |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275598781 PECOS PAC ID: 3779579230 Enrollment ID: I20180716000732 |
| Provider Name | Jessica L Vinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528555406 PECOS PAC ID: 8022369982 Enrollment ID: I20180917001548 |
| Provider Name | Jacqualine Drake Dickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124586995 PECOS PAC ID: 0547501298 Enrollment ID: I20190408001691 |
| Provider Name | Elizabeth Janine Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225542723 PECOS PAC ID: 6709127145 Enrollment ID: I20190424002761 |
| Provider Name | Brandy Jo Rose |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790241420 PECOS PAC ID: 4587906276 Enrollment ID: I20190429002769 |
| Provider Name | Emily H Tice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972070548 PECOS PAC ID: 5799023511 Enrollment ID: I20190507002274 |
| Provider Name | Halie Dawne Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740741990 PECOS PAC ID: 5698018141 Enrollment ID: I20190523002834 |
| Provider Name | Nicole Alexandra Van De Velde |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669859997 PECOS PAC ID: 7618200437 Enrollment ID: I20190611001913 |
| Provider Name | Ashley Marie Hatchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396207882 PECOS PAC ID: 0749513208 Enrollment ID: I20190614002324 |
| Provider Name | Rick J Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164412193 PECOS PAC ID: 4587758362 Enrollment ID: I20190820003163 |
| Provider Name | Jodi Lynn Magnotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275193328 PECOS PAC ID: 1052640802 Enrollment ID: I20190904002360 |
| Provider Name | Rachael Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750938643 PECOS PAC ID: 2062743354 Enrollment ID: I20191017002438 |
| Provider Name | Shkendie Papraniku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780199786 PECOS PAC ID: 7911339965 Enrollment ID: I20191113003265 |
| Provider Name | Hilary Kathryn Kabel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255896957 PECOS PAC ID: 1052743408 Enrollment ID: I20191122002683 |
| Provider Name | Angela Whalen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528410024 PECOS PAC ID: 5496181117 Enrollment ID: I20200128002773 |
| Provider Name | Emily Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881233278 PECOS PAC ID: 1355777137 Enrollment ID: I20200214002258 |
| Provider Name | Lauren D Albertine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124658380 PECOS PAC ID: 2860829959 Enrollment ID: I20200302002318 |
| Provider Name | Marianne Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992349567 PECOS PAC ID: 5294163176 Enrollment ID: I20200309001572 |
| Provider Name | Whitney Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225664261 PECOS PAC ID: 6901235571 Enrollment ID: I20200402000162 |
| Provider Name | Laura Barger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427698513 PECOS PAC ID: 4082045299 Enrollment ID: I20200501002690 |
| Provider Name | Summer Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932731957 PECOS PAC ID: 2365863636 Enrollment ID: I20200522002224 |
| Provider Name | Virginia St. Martha Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982226395 PECOS PAC ID: 8921429077 Enrollment ID: I20200528001946 |
| Provider Name | Taylor Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144869827 PECOS PAC ID: 2365863875 Enrollment ID: I20200608002970 |
| Provider Name | Brittany Alys Kellum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619598174 PECOS PAC ID: 5395167449 Enrollment ID: I20200619000260 |
| Provider Name | James Anthony Pass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770193344 PECOS PAC ID: 8729405311 Enrollment ID: I20200827001510 |
| Provider Name | Chiemeziem Nwanyanwu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477937548 PECOS PAC ID: 8426476714 Enrollment ID: I20200918001053 |
| Provider Name | Anna Evans |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306462320 PECOS PAC ID: 5092127217 Enrollment ID: I20201211002813 |
| Provider Name | Amanda Tenison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841802659 PECOS PAC ID: 9537573282 Enrollment ID: I20210121000311 |
| Provider Name | Carol Mattison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821493446 PECOS PAC ID: 9234544099 Enrollment ID: I20210209001929 |
| Provider Name | Amanda Dulaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801476270 PECOS PAC ID: 7315355104 Enrollment ID: I20210415001598 |
| Provider Name | Gangagowri Saravanakumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396350542 PECOS PAC ID: 6608264965 Enrollment ID: I20211020000038 |
| Provider Name | Natalie Staten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265081574 PECOS PAC ID: 5698164200 Enrollment ID: I20211118003042 |
| Provider Name | Hannah Bethany White |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487311791 PECOS PAC ID: 3476943457 Enrollment ID: I20211206002363 |
| Provider Name | Kayla Bree Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710646054 PECOS PAC ID: 0749672798 Enrollment ID: I20220125000199 |
| Provider Name | Michelle G Elrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386391597 PECOS PAC ID: 7618362005 Enrollment ID: I20220322001533 |
| Provider Name | Erin Shaul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780331710 PECOS PAC ID: 6204223118 Enrollment ID: I20220425000090 |
| Provider Name | Katherine Donovan Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629727664 PECOS PAC ID: 0941697361 Enrollment ID: I20220503001196 |
| Provider Name | Charles Michael Fitch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568104479 PECOS PAC ID: 0840678991 Enrollment ID: I20220602001207 |
| Provider Name | Sarah Speer Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518606847 PECOS PAC ID: 3072994391 Enrollment ID: I20220719000170 |
| Provider Name | Sadie Wilkinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548817349 PECOS PAC ID: 5193138055 Enrollment ID: I20220804003478 |
| Provider Name | Rose M Townley Bakewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154392967 PECOS PAC ID: 0143354951 Enrollment ID: I20220815000830 |
| Provider Name | Susan B Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568511491 PECOS PAC ID: 7618345315 Enrollment ID: I20221130003636 |
| Provider Name | Hannah Z Case |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033824792 PECOS PAC ID: 5395116602 Enrollment ID: I20230125000423 |
| Provider Name | Jennifer Lynn Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740851914 PECOS PAC ID: 5294105243 Enrollment ID: I20230420000344 |
| Provider Name | Ashlyn Hall |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518654565 PECOS PAC ID: 8224495593 Enrollment ID: I20230531002579 |
| Provider Name | Tameka Michelle Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508518796 PECOS PAC ID: 3779940978 Enrollment ID: I20230602001541 |
| Provider Name | Molly Rolen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811659394 PECOS PAC ID: 4789046665 Enrollment ID: I20230809000798 |
| Provider Name | Michelle Leah Mancell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629356118 PECOS PAC ID: 8123481736 Enrollment ID: I20230830001554 |
| Provider Name | Elizabeth Mogridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568246494 PECOS PAC ID: 8224482302 Enrollment ID: I20230922001690 |
| Provider Name | Alhassan Sameh Suboh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205575180 PECOS PAC ID: 3173968815 Enrollment ID: I20240304002222 |
| Provider Name | Adam Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285499699 PECOS PAC ID: 8628414737 Enrollment ID: I20240312001825 |
| Provider Name | Maher Ghawji |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710447156 PECOS PAC ID: 5092043828 Enrollment ID: I20240604000876 |
| Provider Name | Tuong Cat Vo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740024769 PECOS PAC ID: 5890232094 Enrollment ID: I20240806002454 |
| Provider Name | Dakota Doss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003646662 PECOS PAC ID: 7517498082 Enrollment ID: I20241008003081 |
| Provider Name | Drennan N Pearrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386423366 PECOS PAC ID: 2062945033 Enrollment ID: I20241029003277 |
| Provider Name | Megan Marie White |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184457830 PECOS PAC ID: 6901339530 Enrollment ID: I20241104002191 |
| Provider Name | Tatiana E Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275367252 PECOS PAC ID: 8224562574 Enrollment ID: I20241111000262 |
| Provider Name | Mary Kathleen Sessler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215750732 PECOS PAC ID: 3779010160 Enrollment ID: I20241226000079 |
| Provider Name | Chelsea Colby Obiedzinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275294100 PECOS PAC ID: 6507243920 Enrollment ID: I20250107003216 |
| Provider Name | Lashaunda Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275009037 PECOS PAC ID: 6204366115 Enrollment ID: I20250207000442 |
| Provider Name | Erin Alana Altomare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659178721 PECOS PAC ID: 9032630652 Enrollment ID: I20250311002411 |
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 | |
Embrace Community Development Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1419 Breedlove St, Memphis, TN 38107 Phone: 901-484-3357 | |
Peabody Family Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Eastmoreland Avenue, Suite 150, Memphis, TN 38104 Phone: 901-725-0648 Fax: 901-725-1037 |