ROBERT PEGRAM (NPI# 1295923829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295923829 |
| Entity Type | Individual |
| Full Name | ROBERT PEGRAM |
| Credential | NP |
| Practice Address |
8060 Wolf River Blvd Memphis TN 38138-1727 |
| Practice Telephone | 9012711000 |
| Practice Fax Number | 9012712161 |
| Mailing Telephone | 9012711000 |
| Mailing Fax Number | 9012712161 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APN0000006057 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8060 WOLF RIVER BLVD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38138-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245489160 | Amy L St. Clair | Nurse Practitioner | 8060 Wolf River Blvd, Memphis, TN 38138-1727 | 2008-09-16 |
| 1194984559 | Fran Mccay | Nurse Practitioner | 8060 Wolf River Blvd, Memphis, TN 38138-1727 | 2008-06-02 |
| 1801084439 | Cynthia Etheridge | Nurse Practitioner | 8060 Wolf River Blvd, Memphis, TN 38138-1727 | 2007-10-09 |
| 1114098043 | David C Wolford | Internal Medicine | 8060 Wolf River Blvd, Memphis, TN 38138-1727 | 2006-11-13 |
| 1003991902 | Larry B Spiotta | Internal Medicine | 8060 Wolf River Blvd, Memphis, TN 38138-1727 | 2006-10-26 |
| 1588753727 | Mark A Coppess | Internal Medicine | 8060 Wolf River Blvd, Memphis, TN 38138-1727 | 2006-10-12 |
| 1639261001 | Todd D Edwards | Internal Medicine | 8060 Wolf River Blvd, Memphis, TN 38138-1727 | 2006-09-29 |
| 1922190396 | Frank A Mcgrew | Internal Medicine | 8060 Wolf River Blvd, Memphis, TN 38138-1727 | 2006-09-29 |
| 1447342811 | Eric E Johnson | Internal Medicine | 8060 Wolf River Blvd, Memphis, TN 38138-1727 | 2006-09-29 |
| 1235221698 | Amy Ervin | Nurse Practitioner | 8060 Wolf River Blvd, Memphis, TN 38138-1727 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063034429 | Jared Garrison | Nurse Practitioner | 700 Harbor Edge Dr Apt 102, Memphis, TN 38103-5840 | 2020-05-08 |
| 1306493887 | Amber Nicole Madison | Nurse Practitioner | 2002 Court Ave, Memphis, TN 38104-2703 | 2019-08-20 |
| 1447605753 | Anne Wheeler Alexandrov | Nurse Practitioner | Uthsc College of Nursing, 920 Madison, Suite 532, Memphis, TN 38163-0001 | 2016-04-25 |
| 1336503564 | Garnet Health Provider LLC | Nurse Practitioner | 4493 Potters Cross Dr, Memphis, TN 38125-4421 | 2016-04-13 |
| 1083732911 | Teresa Carol Hug | Nurse Practitioner | 1325 Eastmoreland Ste 335, Memphis, TN 38104-3423 | 2007-03-27 |
| 1467069369 | Melissa Madolyn Morgan | Nurse Practitioner | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-09-25 |
| 1245845247 | Callie Dugard | Nurse Practitioner | 1331 Union Ave, Memphis, TN 38104-3513 | 2020-09-15 |
| 1851906101 | Stephanie Marie Baggett | Nurse Practitioner | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-09-14 |
| 1275148561 | Suzanne D Moyer | Nurse Practitioner | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-09-13 |
| 1306459516 | Vladyslava Inman | Nurse Practitioner | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-08-26 |
| Find all providers in MEMPHIS | ||||
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| 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.