Primary Care Group Llc | |
1211 Union Ave Ste 200 Memphis TN 38104-6654 | |
(901) 525-0278 | |
Not Available |
Full Name | Primary Care Group Llc |
---|---|
Speciality | Family Medicine |
Location | 1211 Union Ave Ste 200, Memphis, Tennessee |
Authorized Official Name and Position | Charles R Lane (SVP/CFO) |
Authorized Official Contact | 9014780525 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Primary Care Group Llc 1211 Union Ave Ste 700 Memphis TN 38104-6638 Ph: (901) 516-0546 | Primary Care Group Llc 1211 Union Ave Ste 200 Memphis TN 38104-6654 Ph: (901) 525-0278 |
NPI Number | 1093016651 |
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Provider Enumeration Date | 11/12/2010 |
Last Update Date | 06/06/2024 |
Medicare PECOS PAC ID | 0941480131 |
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Medicare Enrollment ID | O20110204000483 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093016651 | NPI | - | NPPES |
DR2914 | Other | TN | RAILROAD MEDICARE |
194628002 | Medicaid | AR | |
1522556 | Medicaid | TN | |
4290151 | Other | TN | BCBS TN |
DS1812 | Other | MS | RAILROAD MEDICARE |
Provider Name | William Clay Jackson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407858368 PECOS PAC ID: 7315851086 Enrollment ID: I20031117000708 |
Provider Name | Julie J Carpenter |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497757520 PECOS PAC ID: 1052302932 Enrollment ID: I20040519001534 |
Provider Name | Rekha Pillai |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1356318752 PECOS PAC ID: 7416935598 Enrollment ID: I20040713001610 |
Provider Name | Tina M Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568501096 PECOS PAC ID: 8921088824 Enrollment ID: I20040721001548 |
Provider Name | Bola Adamolekun |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1104816990 PECOS PAC ID: 4486617818 Enrollment ID: I20041108000257 |
Provider Name | Angela M Culbreth |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558358788 PECOS PAC ID: 7315903887 Enrollment ID: I20041207000061 |
Provider Name | Ellena L Henderson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285689091 PECOS PAC ID: 2567400385 Enrollment ID: I20050421001349 |
Provider Name | Michael Scott Craig |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518951664 PECOS PAC ID: 6800845850 Enrollment ID: I20050603000479 |
Provider Name | Aparna K Murti |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447233531 PECOS PAC ID: 6406891795 Enrollment ID: I20050627001268 |
Provider Name | Preston G Givens |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508848672 PECOS PAC ID: 0446283048 Enrollment ID: I20050914000804 |
Provider Name | Christopher W Sands |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831170448 PECOS PAC ID: 0244263465 Enrollment ID: I20050916000734 |
Provider Name | Lamar E Bailey |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174580765 PECOS PAC ID: 8628174521 Enrollment ID: I20070510000146 |
Provider Name | Simon H Tesfau |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891890406 PECOS PAC ID: 2163522202 Enrollment ID: I20070703000200 |
Provider Name | Hafiz A Elahi |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1689897159 PECOS PAC ID: 9335233519 Enrollment ID: I20070919000210 |
Provider Name | Debendra N Pattanaik |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1447222880 PECOS PAC ID: 2062496904 Enrollment ID: I20080514000752 |
Provider Name | Martha S Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992964399 PECOS PAC ID: 1254408826 Enrollment ID: I20080923000729 |
Provider Name | Suzanne M Grooms |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225297666 PECOS PAC ID: 5496822868 Enrollment ID: I20080926000303 |
Provider Name | Robert M Kraus |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396843918 PECOS PAC ID: 1052474194 Enrollment ID: I20090115000195 |
Provider Name | Gordon J Kraus |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306944913 PECOS PAC ID: 6507825668 Enrollment ID: I20090115000203 |
Provider Name | Whitney T Slade |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225065048 PECOS PAC ID: 7618860552 Enrollment ID: I20100215000075 |
Provider Name | Corry T Mazerac |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891720470 PECOS PAC ID: 1850435843 Enrollment ID: I20100216000044 |
Provider Name | Saba Khayal |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1295925840 PECOS PAC ID: 7416986633 Enrollment ID: I20100416000486 |
Provider Name | Yaohui Chai |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1114140894 PECOS PAC ID: 4880725068 Enrollment ID: I20100702000229 |
Provider Name | Ronald C Michael |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1710915061 PECOS PAC ID: 6406971779 Enrollment ID: I20100910000510 |
Provider Name | Charles W Munn |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679676282 PECOS PAC ID: 5395861389 Enrollment ID: I20100928000263 |
Provider Name | Melissa M Mayse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366760225 PECOS PAC ID: 1658497664 Enrollment ID: I20100928000501 |
Provider Name | Martha N Taylor |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912908443 PECOS PAC ID: 8921102781 Enrollment ID: I20101007000794 |
Provider Name | Jolie G Porter |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760476824 PECOS PAC ID: 9830293695 Enrollment ID: I20101007000840 |
Provider Name | Nasir M Haque |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346225620 PECOS PAC ID: 0345216313 Enrollment ID: I20101008000406 |
Provider Name | Lee Wilkes Mccallum |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053304758 PECOS PAC ID: 2961513536 Enrollment ID: I20101018000622 |
Provider Name | Stanley Dowell |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588618599 PECOS PAC ID: 3476591512 Enrollment ID: I20101021000276 |
Provider Name | Calvin Jeff Mullins |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124011747 PECOS PAC ID: 6507977170 Enrollment ID: I20101022000042 |
Provider Name | Robert Michael Nollner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871586495 PECOS PAC ID: 8224149893 Enrollment ID: I20101022000205 |
Provider Name | Stephanie A Connelly |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023074382 PECOS PAC ID: 3173718327 Enrollment ID: I20101112000746 |
Provider Name | Oswald Henry Thomas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437246733 PECOS PAC ID: 7416145453 Enrollment ID: I20101217000500 |
Provider Name | Julie W Crafton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740333756 PECOS PAC ID: 0547443004 Enrollment ID: I20110914000339 |
Provider Name | Ramon Tom Ungab |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053314104 PECOS PAC ID: 5698861631 Enrollment ID: I20111019000626 |
Provider Name | Bridget Brady |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336285162 PECOS PAC ID: 9133392244 Enrollment ID: I20111107000408 |
Provider Name | Christi Lee Cazalas Earnest |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609096148 PECOS PAC ID: 6103011895 Enrollment ID: I20111108000811 |
Provider Name | Todd S Motley |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184675332 PECOS PAC ID: 3577453042 Enrollment ID: I20120131000472 |
Provider Name | Michelle D Kitson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104141472 PECOS PAC ID: 2264693118 Enrollment ID: I20120419000683 |
Provider Name | Barbara P Evangelisti |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871700658 PECOS PAC ID: 7214199579 Enrollment ID: I20120502000437 |
Provider Name | Lucy L Bruijn |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538257894 PECOS PAC ID: 4183626682 Enrollment ID: I20120910000665 |
Provider Name | Terri D Alford |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134355217 PECOS PAC ID: 5597913335 Enrollment ID: I20120919000663 |
Provider Name | Titilola O Akhigbe |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1437350816 PECOS PAC ID: 4688823842 Enrollment ID: I20121003000199 |
Provider Name | Sonali S Parikh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376651919 PECOS PAC ID: 7315190717 Enrollment ID: I20130115000429 |
Provider Name | Ann Marie Motley |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528019098 PECOS PAC ID: 2668362138 Enrollment ID: I20130222000151 |
Provider Name | Ian Trevor Gaillard |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1912112632 PECOS PAC ID: 9830369685 Enrollment ID: I20130314000391 |
Provider Name | Danielle Jaworski Howell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366785677 PECOS PAC ID: 5294974390 Enrollment ID: I20130621000258 |
Provider Name | Jena Burlison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851634166 PECOS PAC ID: 4688813645 Enrollment ID: I20130624000311 |
Provider Name | Patrick W Denning |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285065656 PECOS PAC ID: 5294966636 Enrollment ID: I20140327001009 |
Provider Name | Regina Forbess Goulder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295150787 PECOS PAC ID: 9436381241 Enrollment ID: I20140409002371 |
Provider Name | Candace D Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043636244 PECOS PAC ID: 3476786922 Enrollment ID: I20140507001360 |
Provider Name | Nisreen Abu Al Hommos |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1831485788 PECOS PAC ID: 2062631666 Enrollment ID: I20140912001936 |
Provider Name | Laura Shultz |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1790193795 PECOS PAC ID: 4284855651 Enrollment ID: I20141028002255 |
Provider Name | Jennifer P Jurado |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780012773 PECOS PAC ID: 4587986997 Enrollment ID: I20141212001810 |
Provider Name | Daniel Lee Magro |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992068563 PECOS PAC ID: 5496063182 Enrollment ID: I20150929003254 |
Provider Name | Shartondra C Armour |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316378045 PECOS PAC ID: 2062718281 Enrollment ID: I20160314001290 |
Provider Name | Kelly R Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598187452 PECOS PAC ID: 8123324340 Enrollment ID: I20160314001360 |
Provider Name | Katherine O Kopinski |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851734347 PECOS PAC ID: 1850687336 Enrollment ID: I20160909000370 |
Provider Name | Madison W Dowdy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679027049 PECOS PAC ID: 8325333701 Enrollment ID: I20161006001807 |
Provider Name | Jenipher E Chaney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558492306 PECOS PAC ID: 7719266782 Enrollment ID: I20161115000501 |
Provider Name | Teresa M Wallace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225357635 PECOS PAC ID: 1052690021 Enrollment ID: I20161115000655 |
Provider Name | Kristen Joyce |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336510650 PECOS PAC ID: 8123301462 Enrollment ID: I20170210000449 |
Provider Name | Joyce L White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194263863 PECOS PAC ID: 6305123555 Enrollment ID: I20170426000878 |
Provider Name | Farah F Cardosi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235667965 PECOS PAC ID: 2163794256 Enrollment ID: I20170824001671 |
Provider Name | Mindy A Ledford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740719590 PECOS PAC ID: 8628341377 Enrollment ID: I20170831002834 |
Provider Name | Jeffrey E Banham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477078962 PECOS PAC ID: 1153687892 Enrollment ID: I20171113001335 |
Provider Name | Sarah K Ziebarth |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1811332638 PECOS PAC ID: 2567732134 Enrollment ID: I20180509000428 |
Provider Name | Collin G Hardwick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811496052 PECOS PAC ID: 6901161496 Enrollment ID: I20180605000159 |
Provider Name | Zunaira Ali |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1427312552 PECOS PAC ID: 2961631312 Enrollment ID: I20180810002867 |
Provider Name | Nora E Maldonado |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124406921 PECOS PAC ID: 8022369123 Enrollment ID: I20181001000445 |
Provider Name | Arvind R Ankireddypalli |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003162637 PECOS PAC ID: 9830328996 Enrollment ID: I20181113001641 |
Provider Name | Charles E Brown |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699880534 PECOS PAC ID: 1355389040 Enrollment ID: I20181113002752 |
Provider Name | Amanda R Mcgriff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508332974 PECOS PAC ID: 7012251671 Enrollment ID: I20181207002069 |
Provider Name | Bobbie M Willis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720556061 PECOS PAC ID: 5890033989 Enrollment ID: I20190215000385 |
Provider Name | Dayna Gibbs |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588019194 PECOS PAC ID: 6406146422 Enrollment ID: I20190829001652 |
Provider Name | Bonnie L Barnes |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043674336 PECOS PAC ID: 9830428770 Enrollment ID: I20190903000577 |
Provider Name | Lauren N Sweet |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609226216 PECOS PAC ID: 8325377955 Enrollment ID: I20190907000049 |
Provider Name | Nathan G. Lawrence |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1346624327 PECOS PAC ID: 9436488061 Enrollment ID: I20190907000423 |
Provider Name | April D. Garner |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982926671 PECOS PAC ID: 7416386032 Enrollment ID: I20200402002357 |
Provider Name | Kaushal Kalra |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467896506 PECOS PAC ID: 9234363300 Enrollment ID: I20200624003289 |
Provider Name | Anna Mckenzie Howard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568737864 PECOS PAC ID: 2769894344 Enrollment ID: I20201228000001 |
Provider Name | Richard K Hayes |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265968606 PECOS PAC ID: 7810268273 Enrollment ID: I20210201000256 |
Provider Name | Heather D Delay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790383438 PECOS PAC ID: 2567877335 Enrollment ID: I20210209002529 |
Provider Name | Sejal P Thakor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912136227 PECOS PAC ID: 7618125592 Enrollment ID: I20210521001864 |
Provider Name | Contrina Annette Huffman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023305703 PECOS PAC ID: 2163827213 Enrollment ID: I20210827000318 |
Provider Name | Arlesia G Jones |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316380173 PECOS PAC ID: 3476788019 Enrollment ID: I20220211000372 |
Provider Name | Ann C Guest |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982204038 PECOS PAC ID: 7214321454 Enrollment ID: I20220303001669 |
Provider Name | Pooja Tandon |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1922377258 PECOS PAC ID: 4688969868 Enrollment ID: I20220705001910 |
Provider Name | Julie Alvarez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528379377 PECOS PAC ID: 2961696018 Enrollment ID: I20220808002445 |
Provider Name | Seunghyun Kim |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1154564086 PECOS PAC ID: 3274771977 Enrollment ID: I20220809000162 |
Provider Name | Michael Allen Bibb |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215975792 PECOS PAC ID: 6305942566 Enrollment ID: I20220811003576 |
Provider Name | Amanda Holder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164199089 PECOS PAC ID: 6103200845 Enrollment ID: I20220830003345 |
Provider Name | Christopher D Wright |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801392469 PECOS PAC ID: 5890044911 Enrollment ID: I20221004002225 |
Provider Name | Robert L Baldwin |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1760585566 PECOS PAC ID: 5890776850 Enrollment ID: I20221004002523 |
Provider Name | Steffi A Thomas |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1639604887 PECOS PAC ID: 6406128685 Enrollment ID: I20230426001399 |
Provider Name | Ashley Lauren Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659097913 PECOS PAC ID: 1153794300 Enrollment ID: I20230724000287 |
Provider Name | Lauren Elizabeth Lefler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659900520 PECOS PAC ID: 5799115697 Enrollment ID: I20230807002952 |
Provider Name | Khine Mon Swe |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1275011561 PECOS PAC ID: 0446509806 Enrollment ID: I20230911003215 |
Provider Name | Kimberly M Yarbro |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700513678 PECOS PAC ID: 1759730229 Enrollment ID: I20231208001791 |
Provider Name | Ashley Murphy |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1326654435 PECOS PAC ID: 0143668988 Enrollment ID: I20240329001393 |
Christ Commuity Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3360 S 3rd St, Memphis, TN 38109 Phone: 901-842-3160 Fax: 901-842-2360 | |
Elite Patient Care Of Tennessee Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Peabody Pl Ste 150, Memphis, TN 38103 Phone: 337-408-0797 | |
Preventivemd, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1407 Union Ave Ste 305, Memphis, TN 38104 Phone: 901-609-2444 | |
Jerry M Holley Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4100 Austin Peay Hwy, Memphis, TN 38128 Phone: 901-486-1151 Fax: 901-844-1439 | |
Spirit Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1331 Union Ave Ste 1240, Memphis, TN 38104 Phone: 901-832-6734 | |
Embrace Community Development Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1419 Breedlove St, Memphis, TN 38107 Phone: 901-484-3357 | |
Peabody Family Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Eastmoreland Avenue, Suite 150, Memphis, TN 38104 Phone: 901-725-0648 Fax: 901-725-1037 |