Memphis Health Center, Inc. | |
360 E H Crump Blvd Memphis TN 38126 | |
(901) 261-2000 | |
(901) 946-9262 |
Full Name | Memphis Health Center, Inc. |
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Speciality | Clinic/Center |
Location | 360 E H Crump Blvd, Memphis, Tennessee |
Authorized Official Name and Position | Marilyn Burress (CHIEF EXECUTIVE OFFICER (CEO)) |
Authorized Official Contact | 9012612000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Memphis Health Center, Inc. 360 E H Crump Blvd Memphis TN 38126 Ph: (901) 261-2000 | Memphis Health Center, Inc. 360 E H Crump Blvd Memphis TN 38126 Ph: (901) 261-2000 |
NPI Number | 1144236902 |
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Provider Enumeration Date | 08/01/2006 |
Last Update Date | 01/23/2023 |
Medicare PECOS PAC ID | 7315859972 |
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Medicare Enrollment ID | O20031103000245 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144236902 | NPI | - | NPPES |
1525381 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Belvia Ann Carter |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1902891179 PECOS PAC ID: 5799698452 Enrollment ID: I20031117000601 |
Provider Name | Latanya Simpson |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1942324470 PECOS PAC ID: 2062304637 Enrollment ID: I20040327000419 |
Provider Name | Cedric Cooper |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1184695306 PECOS PAC ID: 6901703537 Enrollment ID: I20040528000462 |
Provider Name | Corey Shane Mcglothan |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1609985522 PECOS PAC ID: 2264414333 Enrollment ID: I20040602001357 |
Provider Name | Joseph K Lawrence |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1669575064 PECOS PAC ID: 5991788994 Enrollment ID: I20040610001093 |
Provider Name | Prabha Sudheendran |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1487742755 PECOS PAC ID: 1052364510 Enrollment ID: I20050224000154 |
Provider Name | Melvinie E Seymore |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1114097458 PECOS PAC ID: 5597712711 Enrollment ID: I20050331000237 |
Provider Name | Barbara Alfreda Duncan-cody |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1093866733 PECOS PAC ID: 9739120742 Enrollment ID: I20050520000930 |
Provider Name | Lawrence E Madlock |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477501138 PECOS PAC ID: 2264460344 Enrollment ID: I20050729000854 |
Provider Name | Robert B Canada |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033176250 PECOS PAC ID: 1759390628 Enrollment ID: I20060420000583 |
Provider Name | Rose Cohen Ellen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215994595 PECOS PAC ID: 0042216475 Enrollment ID: I20061009000035 |
Provider Name | Marcia D Bradford |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003800293 PECOS PAC ID: 6406855246 Enrollment ID: I20061205000541 |
Provider Name | Lisa D Scarvey |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1487638102 PECOS PAC ID: 8729188479 Enrollment ID: I20070710000620 |
Provider Name | Isaac Joseph Mcfadden |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1316165079 PECOS PAC ID: 3870647506 Enrollment ID: I20090814000489 |
Provider Name | Brenda L Heffner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942530373 PECOS PAC ID: 3375687379 Enrollment ID: I20100215000080 |
Provider Name | Linda F Moses |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1548227143 PECOS PAC ID: 0244424406 Enrollment ID: I20101101001405 |
Provider Name | Lorena Beatriz Alvarez |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1578711131 PECOS PAC ID: 6305015355 Enrollment ID: I20110808000532 |
Provider Name | Bridget C Ratliff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538213186 PECOS PAC ID: 2163692369 Enrollment ID: I20110825000575 |
Provider Name | Benjamin Brenner |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013205871 PECOS PAC ID: 4486824984 Enrollment ID: I20110912000658 |
Provider Name | Owen P Phillips |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1023075611 PECOS PAC ID: 9436321965 Enrollment ID: I20111005000804 |
Provider Name | William C Hurd |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1538216239 PECOS PAC ID: 3274692637 Enrollment ID: I20111201000174 |
Provider Name | Lloydetta Stovall |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1639165798 PECOS PAC ID: 4385819051 Enrollment ID: I20111207000610 |
Provider Name | Robin K Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750640306 PECOS PAC ID: 6608022611 Enrollment ID: I20120807000752 |
Provider Name | Veronica V Sanders-gant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942554241 PECOS PAC ID: 9739324948 Enrollment ID: I20130318000035 |
Provider Name | Anikia Billington |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427492693 PECOS PAC ID: 1658510995 Enrollment ID: I20130618000711 |
Provider Name | Kathyrn E Steele |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114228400 PECOS PAC ID: 6002030426 Enrollment ID: I20140604002236 |
Provider Name | Lanitra Y Adams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285044479 PECOS PAC ID: 2264657147 Enrollment ID: I20140709001206 |
Provider Name | Ada T Obi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588067078 PECOS PAC ID: 3870816705 Enrollment ID: I20141230001490 |
Provider Name | Roberto Levi-d'ancona |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1053394155 PECOS PAC ID: 7416850730 Enrollment ID: I20150424000231 |
Provider Name | Pallavi Khanna |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1598161838 PECOS PAC ID: 3173832177 Enrollment ID: I20151013002310 |
Provider Name | Larry Sims |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1831211689 PECOS PAC ID: 3173832318 Enrollment ID: I20151029000045 |
Provider Name | Jennifer Tillery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578936803 PECOS PAC ID: 2668775024 Enrollment ID: I20160120000330 |
Provider Name | Clarence Davis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427217744 PECOS PAC ID: 7214236595 Enrollment ID: I20160509001875 |
Provider Name | Edgar Scott Ferguson |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1629031604 PECOS PAC ID: 5496742173 Enrollment ID: I20160712000557 |
Provider Name | Tiffinie Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003369109 PECOS PAC ID: 2264727270 Enrollment ID: I20160829002791 |
Provider Name | Telisha Dixon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972955052 PECOS PAC ID: 6901194026 Enrollment ID: I20161005001592 |
Provider Name | Ashekia R Pinckney |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1497195903 PECOS PAC ID: 0547532160 Enrollment ID: I20170816004273 |
Provider Name | Sheila Coleman-denton |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1013359439 PECOS PAC ID: 2860768728 Enrollment ID: I20171019002329 |
Provider Name | Tracey D Christion |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1942259254 PECOS PAC ID: 4789940735 Enrollment ID: I20171108001916 |
Provider Name | Joseph Mclaurin |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1871605956 PECOS PAC ID: 3577829316 Enrollment ID: I20171109003290 |
Provider Name | Manhar Gandhi |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1184734998 PECOS PAC ID: 4981960648 Enrollment ID: I20171113002488 |
Provider Name | Cheryl Giles |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275530222 PECOS PAC ID: 8123085552 Enrollment ID: I20180505000108 |
Provider Name | Lavern Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144546516 PECOS PAC ID: 3173887585 Enrollment ID: I20180511001999 |
Provider Name | Vernita G Duncan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427018589 PECOS PAC ID: 0749263325 Enrollment ID: I20180723000524 |
Provider Name | Teri-lee Chanette Foster |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1396157145 PECOS PAC ID: 3476804816 Enrollment ID: I20180924001644 |
Provider Name | Heather C Thomasson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346763000 PECOS PAC ID: 3072858620 Enrollment ID: I20181231000447 |
Provider Name | Chudney Akissi Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881180206 PECOS PAC ID: 3274876768 Enrollment ID: I20190524001807 |
Provider Name | Kimary Lee-banks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689189698 PECOS PAC ID: 4082947262 Enrollment ID: I20190603000525 |
Provider Name | Pauline Michelle Mays |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174049985 PECOS PAC ID: 9830423870 Enrollment ID: I20190626000542 |
Provider Name | Florene Dixon Odulana |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1083091110 PECOS PAC ID: 3870823636 Enrollment ID: I20190923000911 |
Provider Name | Erica Dillard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669020046 PECOS PAC ID: 2062846066 Enrollment ID: I20191230000246 |
Provider Name | Andrea Patterson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871123364 PECOS PAC ID: 8325477359 Enrollment ID: I20200326002089 |
Provider Name | Joshua Mayberry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477186476 PECOS PAC ID: 3072942465 Enrollment ID: I20200406003431 |
Provider Name | Ronan J Lasso |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1528379526 PECOS PAC ID: 9234569641 Enrollment ID: I20200427002673 |
Provider Name | Brian C Gibbs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154953107 PECOS PAC ID: 3173717352 Enrollment ID: I20200812000037 |
Provider Name | Robert Decolli |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790778991 PECOS PAC ID: 4183760465 Enrollment ID: I20210205000227 |
Provider Name | Carmen Denise Williams |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861753238 PECOS PAC ID: 7719228246 Enrollment ID: I20210209001877 |
Provider Name | Tia Scott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487943460 PECOS PAC ID: 8527475680 Enrollment ID: I20210408000137 |
Provider Name | Tonya Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760664445 PECOS PAC ID: 3870627961 Enrollment ID: I20210603002279 |
Provider Name | Amanda R Walker |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073002317 PECOS PAC ID: 8426444761 Enrollment ID: I20220413001146 |
Provider Name | Jessica Ashlee Mccall |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1659831592 PECOS PAC ID: 9436484482 Enrollment ID: I20221101000598 |
Provider Name | Michelle Smilansky |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699482901 PECOS PAC ID: 4587033071 Enrollment ID: I20221205002263 |
Provider Name | James John Wallace |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538196704 PECOS PAC ID: 9537065362 Enrollment ID: I20231012002156 |
Provider Name | Mahogany Marquerite Freeman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750064937 PECOS PAC ID: 7012350184 Enrollment ID: I20240206000398 |
Provider Name | Patricia Russell Ford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770349011 PECOS PAC ID: 2567809890 Enrollment ID: I20240322001243 |
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