| Memphis Health Center, Inc. | |
|
360 E H Crump Blvd Memphis TN 38126 | |
| (901) 261-2000 | |
| (901) 946-9262 |
| Full Name | Memphis Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 360 E H Crump Blvd, Memphis, Tennessee |
| Authorized Official Name and Position | Marilyn Burress (CHIEF EXECUTIVE OFFICER (CEO)) |
| Authorized Official Contact | 9012612000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memphis Health Center, Inc. 360 E H Crump Blvd Memphis TN 38126 Ph: (901) 261-2000 | Memphis Health Center, Inc. 360 E H Crump Blvd Memphis TN 38126 Ph: (901) 261-2000 |
| NPI Number | 1144236902 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 01/23/2023 |
| Certification Date | 01/23/2023 |
| Medicare PECOS PAC ID | 7315859972 |
|---|---|
| Medicare Enrollment ID | O20031103000245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144236902 | NPI | - | NPPES |
| 1525381 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
| Provider Name | Belvia Ann Carter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902891179 PECOS PAC ID: 5799698452 Enrollment ID: I20031117000601 |
| Provider Name | Latanya Simpson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942324470 PECOS PAC ID: 2062304637 Enrollment ID: I20040327000419 |
| Provider Name | Cedric Cooper |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184695306 PECOS PAC ID: 6901703537 Enrollment ID: I20040528000462 |
| Provider Name | Corey Shane Mcglothan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609985522 PECOS PAC ID: 2264414333 Enrollment ID: I20040602001357 |
| Provider Name | Joseph K Lawrence |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669575064 PECOS PAC ID: 5991788994 Enrollment ID: I20040610001093 |
| Provider Name | Prabha Sudheendran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487742755 PECOS PAC ID: 1052364510 Enrollment ID: I20050224000154 |
| Provider Name | Melvinie E Seymore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114097458 PECOS PAC ID: 5597712711 Enrollment ID: I20050331000237 |
| Provider Name | Lawrence E Madlock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477501138 PECOS PAC ID: 2264460344 Enrollment ID: I20050729000854 |
| Provider Name | Tyrone Teako Davis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467449041 PECOS PAC ID: 7810955614 Enrollment ID: I20051101000850 |
| Provider Name | Robert B Canada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033176250 PECOS PAC ID: 1759390628 Enrollment ID: I20060420000583 |
| Provider Name | Rose Cohen Ellen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215994595 PECOS PAC ID: 0042216475 Enrollment ID: I20061009000035 |
| Provider Name | Marcia D Bradford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003800293 PECOS PAC ID: 6406855246 Enrollment ID: I20061205000541 |
| Provider Name | Lisa D Scarvey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487638102 PECOS PAC ID: 8729188479 Enrollment ID: I20070710000620 |
| Provider Name | Isaac Joseph Mcfadden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316165079 PECOS PAC ID: 3870647506 Enrollment ID: I20090814000489 |
| Provider Name | Brenda L Heffner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942530373 PECOS PAC ID: 3375687379 Enrollment ID: I20100215000080 |
| Provider Name | Linda F Moses |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548227143 PECOS PAC ID: 0244424406 Enrollment ID: I20101101001405 |
| Provider Name | Laneita R Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073828802 PECOS PAC ID: 8628255015 Enrollment ID: I20110613000444 |
| Provider Name | Lorena Beatriz Alvarez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578711131 PECOS PAC ID: 6305015355 Enrollment ID: I20110808000532 |
| Provider Name | Bridget C Ratliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538213186 PECOS PAC ID: 2163692369 Enrollment ID: I20110825000575 |
| Provider Name | Owen P Phillips |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023075611 PECOS PAC ID: 9436321965 Enrollment ID: I20111005000804 |
| Provider Name | William C Hurd |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538216239 PECOS PAC ID: 3274692637 Enrollment ID: I20111201000174 |
| Provider Name | Lloydetta Stovall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639165798 PECOS PAC ID: 4385819051 Enrollment ID: I20111207000610 |
| Provider Name | Robin K Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750640306 PECOS PAC ID: 6608022611 Enrollment ID: I20120807000752 |
| Provider Name | Veronica V Sanders-gant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942554241 PECOS PAC ID: 9739324948 Enrollment ID: I20130318000035 |
| Provider Name | Anikia Billington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427492693 PECOS PAC ID: 1658510995 Enrollment ID: I20130618000711 |
| Provider Name | Kathyrn E Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114228400 PECOS PAC ID: 6002030426 Enrollment ID: I20140604002236 |
| Provider Name | Lanitra Y Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285044479 PECOS PAC ID: 2264657147 Enrollment ID: I20140709001206 |
| Provider Name | Ada T Obi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588067078 PECOS PAC ID: 3870816705 Enrollment ID: I20141230001490 |
| Provider Name | Roberto Levi-d'ancona |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053394155 PECOS PAC ID: 7416850730 Enrollment ID: I20150424000231 |
| Provider Name | Pallavi Khanna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598161838 PECOS PAC ID: 3173832177 Enrollment ID: I20151013002310 |
| Provider Name | Brenda Curd Loft |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427254879 PECOS PAC ID: 7517942204 Enrollment ID: I20151014001123 |
| Provider Name | Davin Perkins Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548681315 PECOS PAC ID: 8426367053 Enrollment ID: I20151022001247 |
| Provider Name | Larry Sims |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1831211689 PECOS PAC ID: 3173832318 Enrollment ID: I20151029000045 |
| Provider Name | Jennifer Tillery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578936803 PECOS PAC ID: 2668775024 Enrollment ID: I20160120000330 |
| Provider Name | Edgar Scott Ferguson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629031604 PECOS PAC ID: 5496742173 Enrollment ID: I20160712000557 |
| Provider Name | Amanda Lynn Williams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386096279 PECOS PAC ID: 9234424003 Enrollment ID: I20160818002287 |
| Provider Name | Tiffinie Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003369109 PECOS PAC ID: 2264727270 Enrollment ID: I20160829002791 |
| Provider Name | Telisha Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972955052 PECOS PAC ID: 6901194026 Enrollment ID: I20161005001592 |
| Provider Name | Lacie Dawn Marable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053661587 PECOS PAC ID: 7113171562 Enrollment ID: I20161005002074 |
| Provider Name | Sachin S Jogal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831140672 PECOS PAC ID: 0941277537 Enrollment ID: I20161011001844 |
| Provider Name | Edna M Lewis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285044552 PECOS PAC ID: 6608093059 Enrollment ID: I20170208000352 |
| Provider Name | Ashekia R Pinckney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497195903 PECOS PAC ID: 0547532160 Enrollment ID: I20170816004273 |
| Provider Name | Sheila Coleman-denton |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1013359439 PECOS PAC ID: 2860768728 Enrollment ID: I20171019002329 |
| Provider Name | Tracey D Christion |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1942259254 PECOS PAC ID: 4789940735 Enrollment ID: I20171108001916 |
| Provider Name | Joseph Mclaurin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1871605956 PECOS PAC ID: 3577829316 Enrollment ID: I20171109003290 |
| Provider Name | Manhar Gandhi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184734998 PECOS PAC ID: 4981960648 Enrollment ID: I20171113002488 |
| Provider Name | Lavern Banks Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144546516 PECOS PAC ID: 3173887585 Enrollment ID: I20180511001999 |
| Provider Name | Vernita G Duncan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427018589 PECOS PAC ID: 0749263325 Enrollment ID: I20180723000524 |
| Provider Name | Teri-lee Chanette Foster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396157145 PECOS PAC ID: 3476804816 Enrollment ID: I20180924001644 |
| Provider Name | Chudney Akissi Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881180206 PECOS PAC ID: 3274876768 Enrollment ID: I20190524001807 |
| Provider Name | Kimary Lee-banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689189698 PECOS PAC ID: 4082947262 Enrollment ID: I20190603000525 |
| Provider Name | Pauline Michelle Mays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174049985 PECOS PAC ID: 9830423870 Enrollment ID: I20190626000542 |
| Provider Name | Florene Dixon Odulana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083091110 PECOS PAC ID: 3870823636 Enrollment ID: I20190923000911 |
| Provider Name | Erica Dillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669020046 PECOS PAC ID: 2062846066 Enrollment ID: I20191230000246 |
| Provider Name | Andrea Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871123364 PECOS PAC ID: 8325477359 Enrollment ID: I20200326002089 |
| Provider Name | Nakeesha Longmire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881054625 PECOS PAC ID: 2264861749 Enrollment ID: I20200403002162 |
| Provider Name | Joshua Mayberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477186476 PECOS PAC ID: 3072942465 Enrollment ID: I20200406003431 |
| Provider Name | Ronan J Lasso |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528379526 PECOS PAC ID: 9234569641 Enrollment ID: I20200427002673 |
| Provider Name | Brian C Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154953107 PECOS PAC ID: 3173717352 Enrollment ID: I20200812000037 |
| Provider Name | Robert Decolli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790778991 PECOS PAC ID: 4183760465 Enrollment ID: I20210205000227 |
| Provider Name | Carmen Denise Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861753238 PECOS PAC ID: 7719228246 Enrollment ID: I20210209001877 |
| Provider Name | Tia Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487943460 PECOS PAC ID: 8527475680 Enrollment ID: I20210408000137 |
| Provider Name | Tonya Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760664445 PECOS PAC ID: 3870627961 Enrollment ID: I20210603002279 |
| Provider Name | Clara Pieh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720255961 PECOS PAC ID: 5294133146 Enrollment ID: I20211007002475 |
| Provider Name | Laxmichaya Devendra Sawant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598250599 PECOS PAC ID: 2365832284 Enrollment ID: I20211209000045 |
| Provider Name | John Orland Schorge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669439923 PECOS PAC ID: 3577578640 Enrollment ID: I20220513001612 |
| Provider Name | Jessica Ashlee Mccall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659831592 PECOS PAC ID: 9436484482 Enrollment ID: I20221101000598 |
| Provider Name | Leah Lennett Taylor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689394157 PECOS PAC ID: 1254708332 Enrollment ID: I20221102000928 |
| Provider Name | James John Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538196704 PECOS PAC ID: 9537065362 Enrollment ID: I20231012002156 |
| Provider Name | Patricia Russell Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770349011 PECOS PAC ID: 2567809890 Enrollment ID: I20240322001243 |
| Provider Name | Jessica Marie Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700451069 PECOS PAC ID: 3173066024 Enrollment ID: I20240619001800 |
| Provider Name | Waltisha Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134962723 PECOS PAC ID: 1254878002 Enrollment ID: I20240730001741 |
| Provider Name | Azalia Rochelle Roach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013751643 PECOS PAC ID: 6507304235 Enrollment ID: I20240813003184 |
| Provider Name | Jasmine N Walker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992449268 PECOS PAC ID: 6204361447 Enrollment ID: I20241125000946 |
| Provider Name | Geraldine Webber Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851122428 PECOS PAC ID: 2567990161 Enrollment ID: I20250109003978 |
| Provider Name | Shana Danielle Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114620341 PECOS PAC ID: 4486170008 Enrollment ID: I20250428001511 |
| Provider Name | Logan James Mcclure |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184205825 PECOS PAC ID: 6507266798 Enrollment ID: I20250909002501 |
| Provider Name | Annedra Gladney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609509058 PECOS PAC ID: 6800382854 Enrollment ID: I20251230001268 |
| Provider Name | Kizzy Mishee Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669943163 PECOS PAC ID: 2769965938 Enrollment ID: I20260316002460 |
| Provider Name | Mohammed Elshafey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447992888 PECOS PAC ID: 4486031010 Enrollment ID: I20260528001612 |
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