MEMPHIS & SHELBY COUNTY PEDIATRIC GROUP


Address: 6479 Winchester Rd, Suite 118, Memphis, TN 38115-4240
Phone: 9018662133

MEMPHIS & SHELBY COUNTY PEDIATRIC GROUP (NPI# 1487797536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487797536
Entity Type Organization
Organization Name MEMPHIS & SHELBY COUNTY PEDIATRIC GROUP
Practice Address 6479 Winchester Rd
Suite 118
Memphis
TN 38115-4240
Mailing Address 1444 E Shelby Dr
Suite 317
Memphis
TN 38116-7260
Practice Telephone 9018662133
Practice Fax Number 9018662136
Mailing Telephone 9013968281
Enumeration Date 2007-02-15
Last Update Date 2020-08-22
Authorized Official Name KATHERINE CARTER (BILLING SUPERVISOR)
Authorized Official Telephone 9013968366
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN UNISON 117847 01
TN AETNA 5598466 01

Office Location

Street Address 6479 WINCHESTER RD
SUITE 118
City MEMPHIS
State TN
Zip Code 38115-4240

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386693117 Cathy Lynn Braswell Optometrist 6479 Winchester Rd, Memphis, TN 38115-4257 2006-05-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891315370 Janell Lennice C Jackson Pharmacist 3670 Riverdale Road, Memphis, TN 38115 2020-04-24
1982246393 A.y Nunley Technician 5614 Crepe Myrtle Drive, Memphis, TN 38115 2019-10-17
1114580776 Dee's Around The Clock Home Health Aide 6099 Apple Tree Suite35, Optional, Memphis, TN 38115 2019-04-19
1679047476 Demetria S Summers Home Health 6099 Appletree, Suite35, Memphis, TN 38115 2019-01-15
1134698590 Patriot Healthcare of Tennessee, LLC Family Medicine 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 2018-11-15
1891293106 Decrese A Beverly Counselor 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 2018-02-01
1720597289 Frank A Taylor Jr. Nutritionist 6061 Hickory Ridge Mall Ste. 452, Memphis, TN 38115 2017-09-27
1255717260 Mary L Avery Social Worker 5563 Knight Arnold Rd., Memphis, TN 38115 2015-08-03
1104207166 Good Shepherd Medication Management Pharmacy 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 2015-06-16
1265811665 Good Shepherd Health Pharmacy 6052 Hickory Ridge Mall, Suite 148, Memphis, TN 38115 2015-05-19
Find all providers in zip 38115

Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033516109 Comprehensive Pediatrics Pediatrics 4250 Faronia Road, Suite 3, Memphis, TN 38116 2014-12-04
1063597979 James Langston Cowan IIi Pediatrics 6073 Mt. Moriah Ext., Suite 2, Memphis, TN 38115 2006-10-26
1164511085 Svetlana Yanishevski Pediatrics 5050 Sanderlin, Memphis, TN 38117 2006-10-11
1790735124 Tamara P Folz Pediatrics 1102 Brookfield Road, 2nd Floor, Memphis, TN 38119 2006-05-10
1346649894 Kids Care Medical Center Pediatrics 6073 Mt Moriah Rd Ext, Suite 2, Memphis, TN 38115-2666 2014-08-21
1548514771 Contemporary Pediatrics, Pa Pediatrics 4250 Faronia Rd, Memphis, TN 38116-6527 2012-11-09
1508027459 Preeti Palakurthi Pediatrics 2860 Covington Pike, Memphis, TN 38128-8090 2008-06-23
1376622811 James F. Stanford Pediatrics 5575 Poplar Ave, Ste 112, Memphis, TN 38119-3856 2006-11-03
1699857680 Charles Christopher Hanson Pediatrics 5050 Sanderlin, Memphis, TN 38117 2006-10-19
1881784650 Ashley B. Miller Pediatrics 5050 Sanderlin, Memphis, TN 38117 2006-10-13
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38115

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Dataset Information

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.

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