DR. CHARLES F CHEATHAM (NPI# 1174968853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174968853 |
| Entity Type | Individual |
| Full Name | DR. CHARLES F CHEATHAM |
| Credential | M.D. |
| Practice Address |
4095 American Way Suite 1 Memphis TN 38118-8339 |
| Practice Telephone | 9012793431 |
| Mailing Telephone | 9012793431 |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2015-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD24777 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
4095 AMERICAN WAY SUITE 1 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38118-8339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326034455 | Naudia James | Nurse Practitioner | 4095 American Way, Memphis, TN 38118-8339 | 2005-09-23 |
| 1639770407 | Daniel Thompson | Social Worker | 4095 American Way, Memphis, TN 38118-8339 | 2020-11-06 |
| 1316471337 | Cherokee Health Systems | Psychologist | 4095 American Way, Suite 1, Memphis, TN 38118-8339 | 2017-04-17 |
| 1659802767 | Mitchell Jon Schoen | Student in an Organized Health Care Education/Training Program | 4095 American Way, Suite 1, Memphis, TN 38118-8339 | 2017-03-21 |
| 1619365988 | Natassia Cleaves | Nurse Practitioner | 4095 American Way, Suite 1, Memphis, TN 38118-8339 | 2015-01-08 |
| 1295136349 | Resurrection Health | Clinic/Center | 4095 American Way, Memphis, TN 38118-8339 | 2014-09-09 |
| 1174938609 | Tabitha Davies | Student in an Organized Health Care Education/Training Program | 4095 American Way, Suite 1, Memphis, TN 38118-8339 | 2014-06-23 |
| 1104261882 | David Andrew Huber | Student in an Organized Health Care Education/Training Program | 4095 American Way, Resurrection Family Medicine Residency, Memphis, TN 38118-8339 | 2013-05-07 |
| 1487994265 | Emilie Margaret Ball | Registered Nurse | 4095 American Way, Suite 1, Memphis, TN 38118-8339 | 2013-02-15 |
| 1407177835 | Alan Richard Bock | Family Medicine | 4095 American Way, Suite 1, Memphis, TN 38118-8339 | 2010-06-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295719 | Dmc Memphis, LLC | Clinic/Center | 3000 Getwell Road, Memphis, TN 38118 | 2020-04-29 |
| 1053958736 | Randy Johnson | Technician | 3221 Gina Drive, Memphis, TN 38118 | 2019-12-02 |
| 1215415823 | Life Partners Home Care Agency, LLC | In Home Supportive Care | 2879 Knightway Road, Memphis, TN 38118 | 2018-08-06 |
| 1326589318 | Latasha Rachell Martin | Nurse Practitioner | 3960 Knight Arnold Rd, Suite 205, Memphis, TN 38118 | 2017-03-10 |
| 1770957375 | Teresa Hughes | Social Worker | 3180 Winchester Road, Memphis, TN 38118 | 2015-11-19 |
| 1891170437 | Bensons Express Pharmacy | Health Maintenance Organization | 3081 South Perkins Rd, Memphis, TN 38118 | 2015-07-24 |
| 1083044226 | Kimberly Winters Griffin | Nurse's Aide | 4100 Tarry Park Apt1, Memphis, TN 38118 | 2013-11-26 |
| 1508017211 | Amy Renee Rike | Counselor | 3960 Knight Arnold Rd. Suite 300, Delta Medical Center - Outpatient Psychiatric Services, Memphis, TN 38118 | 2008-10-01 |
| 1396996047 | Carol Lynn Harriss | Registered Nurse | 2620thousand Oaks Blvd, Suite 2400, Memphis, TN 38118 | 2008-09-30 |
| 1295994671 | Vcphcs I, LLC | Clinic/Center | 4539 Winchester Road, Suite 111, Memphis, TN 38118 | 2008-06-02 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069201 | Warren Hilliard | Family Medicine | 7625 Hwy64, 107, Memphis, TN 38133 | 2020-10-06 |
| 1144835539 | Memphis Family Care | Family Medicine | 5818 Winchester Rd, Memphis, TN 38115-4711 | 2020-09-11 |
| 1538772868 | Longmire Health Group | Family Medicine | 1331 Union Ave Ste 1024, Memphis, TN 38104-7509 | 2020-08-26 |
| 1912526088 | Sanitas Medical Center of Tennessee PC | Family Medicine | 1200 E Raines Rd, Suite 101, Memphis, TN 38116 | 2020-04-09 |
| 1508496829 | Courtney Cordo | Family Medicine | 5901 Shelby Oaks Dr Ste 100, Memphis, TN 38134-7328 | 2020-01-26 |
| 1801431499 | Geriatric and Hospice Associates of The Mid South Pllc | Family Medicine | 6025 Walnut Grove Rd Ste 317, Memphis, TN 38120-2131 | 2019-11-07 |
| 1831627280 | Humanity LLC | Family Medicine | 451 S Perkins Rd Apt 2, Memphis, TN 38117-3952 | 2017-05-30 |
| 1366979098 | Cross Medical Primary Care | Family Medicine | 6222 E. Shelby Drive, Memphis, TN 38141 | 2017-05-12 |
| 1619403870 | Cross Medical Primary Care | Family Medicine | 6222 East Shelby Drive, Memphis, TN 38141 | 2017-05-10 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
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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.