SHANTA L. GRIFFIN (NPI# 1588827109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588827109 |
| Entity Type | Individual |
| Full Name | SHANTA L. GRIFFIN |
| Credential | DPM |
| Practice Address |
1750 Madison Ave Suite 260 Memphis TN 38104-6492 |
| Mailing Address |
Po Box 21 Southaven MS 38671-0001 |
| Practice Telephone | 9015005103 |
| Practice Fax Number | 9013109117 |
| Mailing Telephone | 9015005103 |
| Mailing Fax Number | 9013109117 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2014-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 252 | AR | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD001121 | GA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
711 | TN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE PTAN | 103I482540 | 01 |
| TN | 1521566 | 05 |
| Street Address |
1750 MADISON AVE SUITE 260 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-6492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053302331 | Linda Tharp | Optometrist | 1750 Madison Ave, Memphis, Memphis, TN 38104-6492 | 2005-11-04 |
| 1366954232 | Bridgette Jone Torrance-williams | Nurse Practitioner | 1750 Madison Ave, Memphis, TN 38104 | 2017-10-31 |
| 1558818666 | We Heel The Sole Podiatry LLC | Podiatrist | 1750 Madison Ave, Suite 260, Memphis, TN 38104-6492 | 2016-09-07 |
| 1497192678 | Artineli Footcare Solutions Pllc | Podiatrist | 1750 Madison Ave, Suite 260, Memphis, TN 38104-6458 | 2013-05-29 |
| 1235401043 | Watson Advanced Care, LLC | Internal Medicine | 1750 Madison Ave, Suite 401, Memphis, TN 38104-6492 | 2012-02-09 |
| 1881901163 | James Eric Gardner, Md, PC | Surgery | 1750 Madison Ave, Suite 300, Memphis, TN 38104-6492 | 2010-09-08 |
| 1972732519 | Precision Community Services LLC | Case Management | 1750 Madison Ave, Suite 140, Memphis, TN 38104-6492 | 2009-07-03 |
| 1982846937 | James F Mcguckin Md of Tn Pa | Internal Medicine | 1750 Madison Ave, Suite 300, Memphis, TN 38104-6492 | 2009-04-06 |
| 1144477381 | Aimee S. Lelis | Physical Therapist | 1750 Madison Ave, Suite 120, Memphis, TN 38104 | 2008-08-19 |
| 1316194558 | Martin R. Lelis | Physical Therapist | 1750 Madison Ave, Suite 120, Memphis, TN 38104 | 2008-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740247766 | Nathan Lucas | Podiatrist | 2900 Kirby Rd, Suite 5, Memphis, TN 38119-8221 | 2006-04-26 |
| 1467449041 | Tyrone Teako Davis | Podiatrist | 1204 Madison Ave, Memphis, TN 38104-2226 | 2005-09-29 |
| 1497192678 | Artineli Footcare Solutions Pllc | Podiatrist | 1750 Madison Ave, Suite 260, Memphis, TN 38104-6458 | 2013-05-29 |
| 1245287002 | Podiatry Centers of Memphis PC | Podiatrist | 995 S Yates Rd, Suite 2, Memphis, TN 38119-0882 | 2006-05-27 |
| 1396744959 | Daniel Jay Tucker | Podiatrist | 4901 Raleigh Common Drive, Memphis, TN 38128 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821623638 | Advanced Diagnostic Imaging PC | Podiatrist | 179 Hancock St Ste 300, Gallatin, TN 37066-6347 | 2020-03-12 |
| 1366099269 | Khumalo Foot and Ankle Clinic, Inc | Podiatrist | 1109 E Reelfoot Ave Ste D, Union City, TN 38261-5866 | 2019-08-25 |
| 1154889533 | Cutting Edge Foot and Ankle | Podiatrist | 3443 Dickerson Pike Ste 310, Nashville, TN 37207-2523 | 2019-03-05 |
| 1902376346 | Family Foot and Ankle Pllc | Podiatrist | 120 Walnut Commons Ln Ste A120, Cookeville, TN 38501-6035 | 2018-11-28 |
| 1649757238 | Healthstar Physicians, P.C. | Podiatrist | 2435 Jacksboro Pike Ste 3, La Follette, TN 37766-2912 | 2018-07-26 |
| 1851817290 | Tennessee Foot & Ankle Specialists PC | Podiatrist | 515 Highland Ter Ste B, Murfreesboro, TN 37130-2424 | 2017-08-17 |
| 1386165694 | Lucy Jayne Barrow | Podiatrist | 300 20th Ave N Ste 103, Nashville, TN 37203-2132 | 2017-06-28 |
| 1982051298 | Louis I Reper II | Podiatrist | 125 Town Creek Rd E Ste 3, Lenoir City, TN 37772 | 2016-05-17 |
| 1982050217 | Francois V. Dijour | Podiatrist | 111 Highway 70 E Ste G, Dickson, TN 37055-2080 | 2016-05-05 |
| 1447614136 | Sallee Taylor Randolph | Podiatrist | 1303 Sunset Dr Ste 6, Johnson City, TN 37604 | 2016-04-08 |
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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.