INJURY MEDICAL CENTER OF MEMPHIS (NPI# 1194062307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194062307 |
| Entity Type | Organization |
| Organization Name | INJURY MEDICAL CENTER OF MEMPHIS |
| Other Organization Name | 411-PAIN MEMPHIS, INC. |
| Practice Address |
2832 Coleman Rd Memphis TN 38128-5815 |
| Practice Telephone | 9013772334 |
| Practice Fax Number | 9013770912 |
| Mailing Telephone | 9013772334 |
| Mailing Fax Number | 9013770912 |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-01-08 |
| Authorized Official Name | MS. KELLY DIANNE SELLERS (PRESIDENT/ OWNER) |
| Authorized Official Telephone | 9013772334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| 411-Pain Memphis, Inc. | Former Legal Business Name - Organization |
| Street Address |
2832 COLEMAN RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38128-5815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144793506 | Lauren Nicole Kelley | Physician Assistant | 2832 Coleman Rd, Memphis, TN 38128-5815 | 2019-01-09 |
| 1235502204 | Tri-state Medical Management | Clinical Medical Laboratory | 2832 Coleman Rd, Memphis, TN 38128-5815 | 2015-11-12 |
| 1841662079 | Health One, Pllc | Anesthesiology | 2832 Coleman Rd, Memphis, TN 38128-5815 | 2015-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505775 | Available Home Care Service | Home Health | 3133 Kirkcaldy Rd, Memphis, TN 38128 | 2019-12-18 |
| 1912545690 | Sherry L. Russell | Technician | 4687 Priscilla Ave, Mmphis, TN 38128 | 2019-12-13 |
| 1518442318 | Genevieve Tempy Thomas | Counselor | 3900 Covington Pike, Suite 107, Memphis, TN 38128 | 2018-09-27 |
| 1487172037 | Right Care Home Health Agency | Home Health | 5116 Raleigh Lagrange Suite 5, Memphis, TN 38128 | 2017-09-05 |
| 1659744555 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 5020 English Towne Drive, Memphis, TN 38128 | 2015-11-02 |
| 1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
| 1194153528 | Jessica Rene Bush | Social Worker | 2922 Covington Pike, Memphis, TN 38128 | 2013-10-22 |
| 1013345685 | Frank Earl Madden Sr. | Non-emergency Medical Transport (VAN) | 4416 E. Hunters Glen St, Memphis, TN 38128 | 2013-10-17 |
| 1902230915 | Jonathan Jeu | Pharmacist | 3500 Ramill Road, Memphis, TN 38128 | 2013-08-27 |
| 1245662238 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3131 James Road, Memphis, TN 38128 | 2013-08-01 |
| Find all providers in zip 38128 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
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| 1518196393 | Whee Davis Fitness & Health Clinic | Health Maintenance Organization | 8076 Misty Meadows Ln, Memphis, TN 38125-2441 | 2009-07-14 |
| 1568564425 | Private Senior Providers Etp LLC | Health Maintenance Organization | 234 Pandora St, Co/brenda Thompson, Memphis, TN 38117-2855 | 2006-09-02 |
| 1952819872 | Elite Total Health Inc | Health Maintenance Organization | 263 S Main St, Memphis, TN 38103-3907 | 2018-01-12 |
| 1982007415 | Elite Mens Health | Health Maintenance Organization | 263 S Main St, Memphis, TN 38103-3907 | 2014-09-29 |
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| 1679988380 | Lutheran Medical Center | Health Maintenance Organization | 305 Dominick Pont, Knoxville, TN 37934 | 2014-06-23 |
| 1164863759 | Munsey Enterprises | Health Maintenance Organization | 106 Administration Rd Ste 2, Oak Ridge, TN 37830-6954 | 2013-07-11 |
| 1659622553 | Maxfield Enterprise | Health Maintenance Organization | 7123 Crossroads Blvd, Suite A, Brentwood, TN 37027-2877 | 2012-10-02 |
| 1902157605 | Miracles In A Bag | Health Maintenance Organization | 320 Old Hickory Blvd Apt 3008, Unit 3008, Nashville, TN 37221-1413 | 2012-09-21 |
| 1831464213 | Home Healthcare Solutions of Davidson LLC | Health Maintenance Organization | 4711 Trousdale Dr Ste 129, Nashville, TN 37220-1362 | 2012-03-18 |
| 1306123708 | Health Connect America | Health Maintenance Organization | 60 Lynoak Cv Ste C, Jackson, TN 38305-2988 | 2011-11-14 |
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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.