GREATER MEMPHIS MOBILE MEDICAL, LLC (NPI# 1780837724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780837724 |
| Entity Type | Organization |
| Organization Name | GREATER MEMPHIS MOBILE MEDICAL, LLC |
| Practice Address |
5225 Glynbourne Pl Memphis TN 38117-4564 |
| Practice Telephone | 9016855231 |
| Mailing Telephone | 9016855231 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |
| Authorized Official Name | AVELINO G REYES (OWNER) |
| Authorized Official Telephone | 9016855231 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
MD16093 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
5225 GLYNBOURNE PL |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38117-4564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548397946 | Avelino G Reyes | Home Health | 5225 Glynbourne Pl, Memphis, TN 38117-4564 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
| 1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
| 1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
| 1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
| 1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
| 1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
| 1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
| 1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
| Find all providers in zip 38117 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629603584 | Tiffany Hill | Family Medicine | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-03-10 |
| 1336655745 | Lori Smith | Family Medicine | 6005 Park Ave Ste 400, Memphis, TN 38119-5214 | 2017-12-20 |
| 1558468587 | Robert C Mcewan | Family Medicine | 756 Ridge Lake Blvd, Suite 120, Memphis, TN 38120-9420 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750902177 | R&m Consultants LLC | Family Medicine | 208 N Roan St, Johnson City, TN 37601-4735 | 2020-04-27 |
| 1124656616 | Carebridge Medical Group, PC | Family Medicine | 926 Main St Ste B, Nashville, TN 37206-3614 | 2020-03-30 |
| 1104456052 | Briana Arnett | Family Medicine | 2308 Memorial Blvd Ste D, Springfield, TN 37172-3929 | 2020-01-20 |
| 1326552225 | Tiffany Danielle Turner | Family Medicine | 1045 Horse Head Lane, Pikeville, TN 37367 | 2017-11-30 |
| 1871928556 | Shirley Gravenor | Family Medicine | 2636 Park Creek Dr, Germantown, TN 38139-6556 | 2013-09-12 |
| 1952733396 | Unity Health Home, Inc | Family Medicine | 201 Jordan Rd, Suite 200, Franklin, TN 37067-4495 | 2013-08-08 |
| 1447503842 | Charlene Crowder Matthews | Family Medicine | 157 Highway 25 E, Newport, TN 37821-8157 | 2012-10-23 |
| 1295007730 | Anthony Glen Justice | Family Medicine | 11911 Kingston Pike, Suite 201, Knoxville, TN 37934-4602 | 2012-01-30 |
| 1386878957 | Holly Spurlock Blankenship | Family Medicine | 370 Doolittle Rd Ste 1, Woodbury, TN 37190-1129 | 2009-05-11 |
| 1447454525 | Gay Kirchner Battle | Family Medicine | 2309 Granite Dr, Johnson City, TN 37604-2172 | 2007-06-13 |
| Find all providers with the same taxonomy | ||||
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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.