DR. AUTUMN JOI GOODWIN-SAMSON (NPI# 1407078710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407078710 |
| Entity Type | Individual |
| Full Name | DR. AUTUMN JOI GOODWIN-SAMSON |
| Credential | M.D. |
| Practice Address |
853 Jefferson Ave Suite 201 Memphis TN 38103-2807 |
| Mailing Address |
9034 Hollybrook Lane S Germantown TN 38138 |
| Practice Telephone | 9014484750 |
| Mailing Telephone | 7134199393 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
390200000X | TN | Allopathic & Osteopathic Physicians |
| Street Address |
853 JEFFERSON AVE SUITE 201 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437626579 | Rosemary Mccraney | Social Worker | 853 Jefferson Ave, Memphis, TN 38103-2807 | 2018-10-26 |
| 1073049474 | Lea Elizabeth Stokes | Student in an Organized Health Care Education/Training Program | 853 Jefferson Ave, Rm E102, Memphis, TN 38163 | 2017-05-04 |
| 1437402849 | Tamara M. Pellegrin | Nurse Practitioner | 853 Jefferson Ave, Suite 201, Memphis, TN 38103-2807 | 2012-10-23 |
| 1174872295 | Ut Medical Group | General Acute Care Hospital | 853 Jefferson Ave, Room 201, Memphis, TN 38103-2807 | 2012-09-05 |
| 1710203674 | Uthsc, Memphis, Tn | General Acute Care Hospital | 853 Jefferson Ave, Suite E105d2, Memphis, TN 38103-2807 | 2010-04-15 |
| 1477793362 | Mark Fellows Weems | Pediatrics | 853 Jefferson Ave, Rout Bldg E201, Memphis, TN 38103-2807 | 2009-03-04 |
| 1942475728 | Danielle Latrice Tate | Obstetrics & Gynecology | 853 Jefferson Ave, Suite E102, Memphis, TN 38103-2807 | 2008-04-23 |
| 1881769099 | Bobby Burrell Bellflower | Nurse Practitioner | 853 Jefferson Ave, Memphis, TN 38103-2807 | 2006-11-22 |
| 1336236116 | Janice M Shier | Obstetrics & Gynecology | 853 Jefferson Ave, Rout 102, Memphis, TN 38103-2807 | 2006-10-05 |
| 1114036027 | Roger Charles Young | Obstetrics & Gynecology | 853 Jefferson Ave, E160, Memphis, TN 38103-2807 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801367537 | Stacie Nicole Yocom | Pediatrics | 853 Jefferson Ave Route E206, Memphis, TN 38163 | 2018-12-06 |
| 1518470780 | Ashley Poynor | Pediatrics | 853 Jefferson Ave # Route206, Memphis, TN 38103-2807 | 2017-11-09 |
| 1528300431 | Kent Avery Willis | Pediatrics | 853 Jefferson Ave Rm 201, Memphis, TN 38103-2807 | 2013-03-19 |
| 1659638310 | Jennifer Michelle Davidson | Pediatrics | 853 Jefferson Ave Ste 201, Memphis, TN 38103 | 2012-04-19 |
| 1003137571 | Mimily Harsono | Pediatrics | University of Tennessee (division of Neonatology), 853 Jefferson Avenue, Suite-201, Newborn Center, Memphis, TN 38103 | 2010-06-18 |
| 1487835229 | Sandeep K. Chilakala | Pediatrics | 853 Jefferson Avenue, Suite 201, Memphis, TN 38103 | 2007-11-20 |
| 1346463130 | Mohamad Tammam Elabiad | Pediatrics | Ut College of Medicine, 920 Madison Avenue Suite C50, Memphis, TN 38163-0001 | 2007-04-10 |
| 1992732580 | Ramesh Krishnan | Pediatrics | 853 Jefferson Ave Ste 200, Memphis, TN 38103-2807 | 2006-06-27 |
| 1447217922 | Ajay Talati | Pediatrics | 1910 Nonconnah Blvd Ste 120, Memphis, TN 38132-2113 | 2006-04-27 |
| 1548803919 | Anna Kathryn Noel | Pediatrics | 1407 Union Ave Ste 700, Memphis, TN 38104-3641 | 2019-10-18 |
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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.