GASTROENTEROLOGY CENTER OF THE MIDSOUTH PC (NPI# 1861935132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861935132 |
| Entity Type | Organization |
| Organization Name | GASTROENTEROLOGY CENTER OF THE MIDSOUTH PC |
| Practice Address |
1325 Eastmoreland Ave Suite 435 Memphis TN 38104-3519 |
| Mailing Address |
1419 Kensington Square Ct Murfreesboro TN 37130-6939 |
| Practice Telephone | 9017473630 |
| Practice Fax Number | 8557446439 |
| Mailing Telephone | 6153969080 |
| Mailing Fax Number | 8557446439 |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |
| Authorized Official Name | SHEILA WILLIAMS (ANCILLARY SERVICES MANAGER) |
| Authorized Official Telephone | 9017473630 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285177543 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 7668b Airways Blvd, Southaven, MS 38671-5304 | 2016-11-18 |
| 1275076416 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 2999 Centre Oak Way, Germantown, TN 38138-6308 | 2016-11-21 |
| 1457894693 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 8000 Wolf River Blvd, Ste. 200, Germantown, TN 38138-1754 | 2016-11-21 |
| 1396288668 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 76 Capital Way, Ste. E, Atoka, TN 38004-6832 | 2016-11-18 |
| 1164965406 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 3350 N Germantown Rd, Bartlett, TN 38133-4026 | 2016-11-18 |
| 1639611999 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 1324 Wolf Park Dr, Germantown, TN 38138-1741 | 2016-11-17 |
| 1871978064 | Gastroenterology Center of The Midsouth PC | Pharmacy | 1324 Wolf Park Dr, Germantown, TN 38138-1741 | 2015-07-29 |
| Street Address |
1325 EASTMORELAND AVE SUITE 435 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255526 | Wendy L Dusenbury | Nurse Practitioner | 1325 Eastmoreland Ave, Suite 220, Memphis, TN 38104-3519 | 2005-06-16 |
| 1881149029 | Melody Jackson | Chiropractor | 1325 Eastmoreland Ave, Suite 425, Memphis, TN 38104-3519 | 2016-08-17 |
| 1356793327 | Meredith Alexis Rone | Nurse Practitioner | 1325 Eastmoreland Ave, 335, Memphis, TN 38104-3519 | 2016-07-01 |
| 1073915823 | Ut Methodist Physicians | General Acute Care Hospital | 1325 Eastmoreland Ave, Suite 460, Memphis, TN 38104-3519 | 2014-09-24 |
| 1740533595 | Mallory J Hamsher | Nurse Practitioner | 1325 Eastmoreland Ave, Suite 550, Memphis, TN 38104-3519 | 2012-10-17 |
| 1538418389 | Shekinah Jaquay Andrews | Nurse Practitioner | 1325 Eastmoreland Ave, Suite 220, Memphis, TN 38104-3519 | 2012-09-06 |
| 1750649646 | Rebecca L Reasons | Dietitian, Registered | 1325 Eastmoreland Ave, Suite 335, Memphis, TN 38104-3519 | 2012-04-27 |
| 1548550320 | Tracrw LLC H | Clinic/Center | 1325 Eastmoreland Ave, Memphis, TN 38104-3519 | 2011-04-13 |
| 1821397902 | Thomas M Middleton Jr. | Counselor | 1325 Eastmoreland Ave, Ste 500, Memphis, TN 38104-3519 | 2011-03-15 |
| 1730487489 | Randall J Moskovitz, Md | Psychiatry & Neurology | 1325 Eastmoreland Ave, Suite 500, Memphis, TN 38104-3519 | 2011-03-04 |
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634575 | Dedicated Physicians Group of Tennessee, Pllc | Non-Pharmacy Dispensing Site | 2252 Lamar Ave, Memphis, TN 38114-6608 | 2020-03-16 |
| 1144568718 | Mid-south Foot and Ankle Specialists, Pllc | Non-Pharmacy Dispensing Site | 1653 Poplar Ave, Memphis, TN 38104 | 2013-01-16 |
| 1538242862 | New Image Family Dentistry M | Non-Pharmacy Dispensing Site | 2713 Mount Moriah Rd Ste 101, Memphis, TN 38115-1620 | 2006-10-23 |
| 1073539938 | The Family Physician Group PC | Non-Pharmacy Dispensing Site | 7685 Winchester Rd Ste 101, Memphis, TN 38125-2202 | 2006-07-14 |
| 1245866896 | Dedicated Physicians Group of Tennessee, Pllc | Non-Pharmacy Dispensing Site | 5131 Quince Rd, Memphis, TN 38117-6846 | 2020-03-16 |
| 1891328993 | Dedicated Physicians Group of Tennessee, Pllc | Non-Pharmacy Dispensing Site | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2020-02-17 |
| 1407338320 | Mid-south Foot and Ankle Specialists, Pllc | Non-Pharmacy Dispensing Site | 5677 S Rex Rd, Memphis, TN 38119-3821 | 2018-09-06 |
| 1447792536 | Methodist Healthcare Community Care Association | Non-Pharmacy Dispensing Site | 1803 Union Ave, Suite 2, Memphis, TN 38104-3942 | 2016-11-07 |
| 1518351246 | Urgent Medical Clinic Inc | Non-Pharmacy Dispensing Site | 6515 Poplar Ave, Suite 106, Memphis, TN 38119-4878 | 2015-03-19 |
| 1235458159 | Family Cancer Center Pllc | Non-Pharmacy Dispensing Site | 6005 Park Ave, Suite 1000-b, Memphis, TN 38119-5202 | 2010-05-18 |
| Find all providers in MEMPHIS | ||||
Please comment or provide details below to improve the information on GASTROENTEROLOGY CENTER OF THE MIDSOUTH PC.
| 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.