MICHELLE COLETTE GAMMILL (NPI# 1427501147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427501147 |
| Entity Type | Individual |
| Full Name | MICHELLE COLETTE GAMMILL |
| Credential | PA-C |
| Practice Address |
6005 Park Ave Suite 500b Memphis TN 38119-5202 |
| Mailing Address |
792 S Mclean Blvd Apt B Memphis TN 38114-1717 |
| Practice Telephone | 9016836925 |
| Mailing Telephone | 9019077684 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6005 PARK AVE SUITE 500B |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-5202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091612 | Eugene J. Spiotta Jr. | Internal Medicine | 6005 Park Ave, Ste 200, Memphis, TN 38119-5212 | 2005-05-24 |
| 1013525187 | Kershaw Primary Care and Weight Loss | Nurse Practitioner | 6005 Park Ave, Memphis, TN 38119-5202 | 2020-07-15 |
| 1023552387 | Mary Hamm | Social Worker | 6005 Park Ave, Memphis, TN 38119-5202 | 2016-12-06 |
| 1659732063 | Jennifer Wineland Rich | Nurse Practitioner | 6005 Park Ave, Memphis, TN 38119-5202 | 2016-03-11 |
| 1033581764 | Sue Stovall | Registered Nurse | 6005 Park Ave, Suite 630b, Memphis, TN 38119-5202 | 2015-10-21 |
| 1497121990 | Vogelfanger and Struble Clinic, Pllc | Nurse Practitioner | 6005 Park Ave, Unit 630b, Memphis, TN 38119-5202 | 2015-08-19 |
| 1801297551 | Robert W Greene Jr Md PC | Physical Medicine & Rehabilitation | 6005 Park Ave, Suite 112, Memphis, TN 38119-5202 | 2014-09-12 |
| 1780085787 | Isaac John M.d., P.c | Pediatrics | 6005 Park Ave, Memphis, TN 38119-5202 | 2014-09-09 |
| 1093131401 | Mid South Pain and Anesthesia Clinic | Durable Medical Equipment & Medical Supplies | 6005 Park Ave, Suite 502, Memphis, TN 38119-5202 | 2014-03-10 |
| 1457793457 | Aftab A Shaikh Md-cardiology PC | Internal Medicine | 6005 Park Ave, Suite 906, Memphis, TN 38119-5202 | 2013-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821523119 | Benjamin Scott James | Physician Assistant | 109 N Barksdale St, Memphis, TN 38104-7613 | 2017-04-25 |
| 1184091407 | Melissa Ball Foner | Physician Assistant | 493 Dr Ml King Jr Ave, Memphis, TN 38126-2548 | 2015-08-24 |
| 1740686302 | Rachel Anna Brownfield | Physician Assistant | 5658 S Rex Rd, Memphis, TN 38119-3822 | 2014-11-10 |
| 1043445380 | Mary Boland Hamilton | Physician Assistant | 80 Humphreys Suite 230, Memphis, TN 38117 | 2009-05-15 |
| 1548418767 | Amy Bolt Miller | Physician Assistant | 5658 S Rex Rd # 200, Memphis, TN 38119-3822 | 2008-08-29 |
| 1841386182 | Amy Kerns | Physician Assistant | 6063 Mt Moriah Rd Ext Ste 4, Memphis, TN 38115-2665 | 2006-10-05 |
| 1366467979 | Diane Norrby | Physician Assistant | 3150 Lenox Park Blvd Ste 214, Memphis, TN 38115-4396 | 2006-07-13 |
| 1659378040 | Matthew Joseph Allman | Physician Assistant | 4100 Austin Peay Hwy, Memphis, TN 38128-2502 | 2005-06-30 |
| 1548895568 | Sina Nezakat | Physician Assistant | 1068 Cresthaven Rd Ste 250, Memphis, TN 38119-0809 | 2020-03-10 |
| 1578197919 | Emma Virginia Cotton | Physician Assistant | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2020-02-25 |
| 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.