PATRIOT HEALTHCARE OF TENNESSEE, LLC


Address: 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115
Phone: 9016521598

PATRIOT HEALTHCARE OF TENNESSEE, LLC (NPI# 1134698590) 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) 1134698590
Entity Type Organization
Organization Name PATRIOT HEALTHCARE OF TENNESSEE, LLC
Other Organization Name PHC OF TN LENOX
Practice Address 3175 Lenox Park Boulevard
Suite 100
Memphis
TN 38115
Mailing Address 100 Arricola Avenue
St. Augustine
FL 32080
Practice Telephone 9016521598
Mailing Telephone 9048254368
Enumeration Date 2018-11-15
Last Update Date 2019-01-02
Authorized Official Name DAVID A. CULVER (ADMINISTRATOR)
Authorized Official Telephone 9048669863
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
PHC of TN Lenox Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922577386 Patriot Healthcare of Tennessee, LLC Family Medicine 1407 Union Avenue, Suite 305, Memphis, TN 38104 2018-11-15

Office Location

Street Address 3175 LENOX PARK BOULEVARD
SUITE 100
City MEMPHIS
State TN
Zip Code 38115

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
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
1720408180 Family Center of Wellness Community Health Worker 6094 Apple Tree Drive, Suite 5, Memphis, TN 38115 2014-04-23
Find all providers in zip 38115

Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235244450 Monica Lynn Warhaftig Family Medicine 452 Perkins Extd, Memphis, TN 38117-3802 2006-08-20
1801896881 Elbert Edwin Hines IIi Family Medicine 6263 Poplar Ave, Ste 1052, Memphis, TN 38119-4736 2005-07-29
1922577386 Patriot Healthcare of Tennessee, LLC Family Medicine 1407 Union Avenue, Suite 305, Memphis, TN 38104 2018-11-15
1255702973 Tennessee Phs Md LLC Family Medicine 9155 Crestwyn Hills Dr, Memphis, TN 38125-8501 2015-10-08
1003162637 Arvind Reddy Ankireddypalli Family Medicine 1325 Eastmoreland Ave Ste 150, Memphis, TN 38104-3555 2012-08-01
1699947713 Poplar Primary Care PC Family Medicine 3445 Poplar Ave, Suite100, Memphis, TN 38111-4667 2008-03-28
1083758122 E E Hines IIi Md, PC Family Medicine 6263 Poplar Ave, Ste 1052, Memphis, TN 38119-4701 2007-02-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891096061 At Home Primary Care Inc Family Medicine 4662 E Circle Dr Nw, Cleveland, TN 37312-4101 2010-11-04
1376747691 Np Care LLC Family Medicine 438 North Water Ave, Gallatin Health Care, Gallatin, TN 37066 2007-06-12
1598887473 Naga Vijaya Oruganti Family Medicine 625 N Highland Ave, Murfreesboro, TN 37130-2495 2007-04-04
1932295342 Larry Wayne Barnes Family Medicine 2330 Thornton Taylor Pkwy, Suite A, Fayetteville, TN 37334-3672 2006-10-04
1982713053 Monica K. Crane Family Medicine 1400 Dowell Springs Blvd Ste 100, Knoxville, TN 37909-2457 2006-08-30
1225089725 Rajeev Gupta Family Medicine 1621 W Morris Blvd Ste C, Morristown, TN 37813-2832 2006-05-12
1871565465 Halden Wayne Hooper Jr. Family Medicine 1156 Nashville Pike, Gallatin, TN 37066-3110 2006-02-07
1700497302 Genesis Neuroscience Clinic LLC Family Medicine 1400 Dowell Springs Blvd Ste 340, Knoxville, TN 37909-2445 2020-08-17
1700394863 Starling Medical Practice, LLC Family Medicine 1000 E 3rd St Ste 100, Chattanooga, TN 37403-2148 2018-01-11
1376089698 Genneuro, Pllc Family Medicine 1400 Dowell Springs Blvd, Suite 100, Knoxville, TN 37909-2456 2017-01-10
Find all providers with the same taxonomy

Competitor

Search similar providers

City MEMPHIS
Zip Code 38115

Improve Information

Please comment or provide details below to improve the information on PATRIOT HEALTHCARE OF TENNESSEE, LLC.

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.

Trending Searches