MEMPHIS VAMC (NPI# 1154374726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154374726 |
| Entity Type | Organization |
| Organization Name | MEMPHIS VAMC |
| Other Organization Name | COVINGTON VA CBOC |
| Practice Address |
3461 Austin Peay Hwy Memphis TN 38128-3801 |
| Mailing Address |
Po Box 94511 Cleveland OH 44101 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-09-13 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Covington VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649401316 | Memphis Vamc | Clinic/Center | 125 Quarles Ln, West Helena, AR 72390-1923 | 2009-07-29 |
| 1205072436 | Memphis Vamc | Clinic/Center | 180 Old Hickory Blvd, Suite A, Jackson, TN 38305-2562 | 2008-12-17 |
| 1073552436 | Memphis Vamc | Clinic/Center | 1114 Commonwealth Blvd., Tupelo, MS 38804-9998 | 2006-06-04 |
| 1619923398 | Memphis Vamc | Clinic/Center | 2908 S Caraway Rd Ste B, Jonesboro, AR 72401-7306 | 2006-05-25 |
| 1669427050 | Memphis Vamc | Clinic/Center | 70 Harbert Dr, Savannah, TN 38372-2333 | 2006-05-23 |
| 1194778357 | Memphis Vamc | Clinic/Center | 1700 Crescent Meadows, Holly Springs, MS 38635-7414 | 2006-05-18 |
| 1326436452 | Memphis Vamc | Clinic/Center | 1407 Union Ave, 11th Floor, Memphis, TN 38104-3627 | 2014-12-23 |
| 1659667996 | Memphis Vamc | Military Hospital | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2011-06-24 |
| 1356572010 | Memphis Vamc | Clinic/Center | 1067 Vendall Rd, Dyersburg, TN 38024-1622 | 2009-07-29 |
| 1134370885 | Memphis Vamc | Clinic/Center | 154 Mt. Pleasant Road, Mount Pleasant, MS 38635-9332 | 2008-09-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMPHIS VAMC | 1030 Jefferson Ave, Memphis, TN 38104-2127 |
| Street Address |
3461 AUSTIN PEAY HWY |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38128-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063951077 | Dena Dourisseau Hampton | Dietitian, Registered | 3461 Austin Peay Hwy, Memphis, TN 38128-3801 | 2017-02-23 |
| 1457555906 | Teresa Kay Cook | Psychologist | 3461 Austin Peay Hwy, Memphis, TN 38128-3801 | 2007-06-11 |
| 1366535841 | Parvathi Perumareddi | Family Medicine | 3461 Austin Peay Hwy, Memphis, TN 38128-3801 | 2006-10-02 |
| 1811099708 | John Junious Davis | Physician Assistant | 3461 Austin Peay Hwy, Memphis, TN 38128-3801 | 2006-09-02 |
| 1134231657 | Jay Charles Schechtman | Internal Medicine | 3461 Austin Peay Hwy, Memphis, TN 38128-3801 | 2006-08-31 |
| 1538271028 | Douglas Edson Farst | Internal Medicine | 3461 Austin Peay Hwy, Memphis, TN 38128-3801 | 2006-08-31 |
| 1952417321 | Linda A. Shull | Nurse Practitioner | 3461 Austin Peay Hwy, Memphis, TN 38128-3801 | 2006-08-21 |
| 1437162575 | Louisa Beck | Social Worker | 3461 Austin Peay Hwy, Memphis, TN 38128-3801 | 2006-08-13 |
| 1972515559 | Anne Hooper | Nurse Practitioner | 3461 Austin Peay Hwy, Memphis, TN 38128-3801 | 2006-08-12 |
| 1801807821 | Nicholas Townsend | Pharmacist | 3461 Austin Peay Hwy, Memphis, TN 38128-3801 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505775 | Available Home Care Service | Home Health | 3133 Kirkcaldy Rd, Memphis, TN 38128 | 2019-12-18 |
| 1912545690 | Sherry L. Russell | Technician | 4687 Priscilla Ave, Mmphis, TN 38128 | 2019-12-13 |
| 1518442318 | Genevieve Tempy Thomas | Counselor | 3900 Covington Pike, Suite 107, Memphis, TN 38128 | 2018-09-27 |
| 1487172037 | Right Care Home Health Agency | Home Health | 5116 Raleigh Lagrange Suite 5, Memphis, TN 38128 | 2017-09-05 |
| 1659744555 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 5020 English Towne Drive, Memphis, TN 38128 | 2015-11-02 |
| 1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
| 1194153528 | Jessica Rene Bush | Social Worker | 2922 Covington Pike, Memphis, TN 38128 | 2013-10-22 |
| 1013345685 | Frank Earl Madden Sr. | Non-emergency Medical Transport (VAN) | 4416 E. Hunters Glen St, Memphis, TN 38128 | 2013-10-17 |
| 1902230915 | Jonathan Jeu | Pharmacist | 3500 Ramill Road, Memphis, TN 38128 | 2013-08-27 |
| 1245662238 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3131 James Road, Memphis, TN 38128 | 2013-08-01 |
| Find all providers in zip 38128 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326436452 | Memphis Vamc | Clinic/Center | 1407 Union Ave, 11th Floor, Memphis, TN 38104-3627 | 2014-12-23 |
| 1801033964 | Yan Cao | Clinic/Center | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2009-01-12 |
| 1023236577 | Department of Veterans Affairs | Clinic/Center | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2007-04-22 |
| 1861405797 | Elsheikh Ahmed Kineish | Clinic/Center | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2006-08-14 |
| 1003859588 | Memphis Vamc | Clinic/Center | 1689 Nonconnah Blvd, Memphis, TN 38132-2105 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922544394 | Mountain Home Vamc | Clinic/Center | 1521 Downtown West Blvd, Knoxville, TN 37919-5407 | 2017-01-10 |
| 1073060133 | Nashville Vamc | Clinic/Center | 2 International Plaza Drive, Suite 300, Nashville, TN 37217-2011 | 2016-09-07 |
| 1962958256 | Nashville Vamc | Clinic/Center | 1208 Pointe Centre Drive, Chattanooga, TN 37421-3989 | 2016-08-28 |
| 1750779898 | Nashville Vamc | Clinic/Center | 1919 Charlotte Avenue, Suite 100, Nashville, TN 37203-2219 | 2014-12-23 |
| 1316267743 | Nashville Vamc | Clinic/Center | 2305 N Gateway Ave, Suite 2, Harriman, TN 37748-8665 | 2010-06-08 |
| 1205072436 | Memphis Vamc | Clinic/Center | 180 Old Hickory Blvd, Suite A, Jackson, TN 38305-2562 | 2008-12-17 |
| 1639342231 | Mountain Home Vamc | Clinic/Center | 925 E Morris Blvd, Morristown, TN 37813-2499 | 2008-04-04 |
| 1326082546 | Nashville Vamc | Clinic/Center | 225 Von Karman Road, Arnold Air Force Base, TN 37389-9998 | 2006-06-16 |
| 1700824646 | Mountain Home Vamc | Clinic/Center | 401 Scenic Dr, Rogersville, TN 37857-2452 | 2006-06-03 |
| 1669427050 | Memphis Vamc | Clinic/Center | 70 Harbert Dr, Savannah, TN 38372-2333 | 2006-05-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEMPHIS VAMC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.