NATHAN GRANT LAWRENCE (NPI# 1346624327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346624327 |
| Entity Type | Individual |
| Full Name | NATHAN GRANT LAWRENCE |
| Credential | M.D. |
| Practice Address |
8000 Centerview Pkwy Ste 305 Cordova TN 38018 |
| Mailing Address |
Po Box 1885 Memphis TN 38101-1885 |
| Practice Telephone | 9012613500 |
| Mailing Telephone | 9018210338 |
| Mailing Fax Number | 9015078298 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2020-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
59590 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | STATE MEDICAL LICENSE | 59590 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 234 E 149th St, Bronx, NY 104515504 | 7185795016 | |
| 3950 New Covington Pike Ste 270, Memphis, TN 381282593 | 9012613500 | |
| 8000 Centerview Pkwy Ste 305, Cordova, TN 38018 | 9012613500 |
| Street Address |
8000 CENTERVIEW PKWY STE 305 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154717262 | Kayla Dawn Bowden | Psychiatry & Neurology | 8000 Centerview Pkwy Ste 305, Cordova, TN 38018-4225 | 2015-04-15 |
| 1437790946 | Elizabeth Ann Blaylock | Specialist/Technologist, Other | 8000 Centerview Pkwy Ste 305, Cordova, TN 38018-4225 | 2019-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154717262 | Kayla Dawn Bowden | Psychiatry & Neurology | 8000 Centerview Pkwy Ste 305, Cordova, TN 38018-4225 | 2015-04-15 |
| 1760452577 | Kendrick Knoll Henderson | Psychiatry & Neurology | 8000 Centerview Pkwy Ste 500, Cordova, TN 38018-4254 | 2006-01-24 |
| 1538798558 | Neurology Clinic, PC | Psychiatry & Neurology | 8000 Centerview Pkwy Ste 500, Cordova, TN 38018-4254 | 2020-04-02 |
| 1366861510 | Oleksandra Dryn | Psychiatry & Neurology | 8000 Centerview Pkwy Ste 500, Cordova, TN 38018-4254 | 2014-04-15 |
| 1427369172 | Joshua John Lennon | Psychiatry & Neurology | 8000 Centerview Pkwy Ste 500, Cordova, TN 38018-4254 | 2010-06-28 |
| 1841459641 | Barry Franklin Thompson | Psychiatry & Neurology | 8134 Country Village Dr, Suite 102, Cordova, TN 38016-2029 | 2008-06-05 |
| 1871713537 | David Lanier Pritchard | Psychiatry & Neurology | 8000 Centerview Pkwy, #300, Cordova, TN 38018-4227 | 2007-04-26 |
| 1376760439 | Cara Beth Pendley | Psychiatry & Neurology | 8000 Centerview Pkwy, Suite 300, Cordova, TN 38018-4227 | 2007-04-19 |
| 1326140047 | Nancy Louisa Lamb | Psychiatry & Neurology | 764 Walnut Knoll Ln, Suite 102, Cordova, TN 38018-3113 | 2006-09-02 |
| 1558392233 | Lee S Stein | Psychiatry & Neurology | 8000 Centerview Pkwy Ste 500, Cordova, TN 38018-4254 | 2006-07-05 |
| Find all providers in CORDOVA | ||||
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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.