DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC (NPI# 1891328993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891328993 |
| Entity Type | Organization |
| Organization Name | DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC |
| Other Organization Name | DEDICATED SENIOR MEDICAL CENTER GRACELAND |
| Practice Address |
1056 E Raines Rd Memphis TN 38116-6337 |
| Mailing Address |
1395 Nw 167th St Miami FL 33169-5710 |
| Practice Telephone | 9013005777 |
| Mailing Telephone | 3056286117 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-05-13 |
| Authorized Official Name | MARY CHEN (OWNER) |
| Authorized Official Telephone | 3056286117 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Dedicated Senior Medical Center Graceland | Doing Business As Name - Organization |
| 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 |
| 1174144695 | Dedicated Physicians Group of Tennessee, Pllc | Non-Pharmacy Dispensing Site | 1395 Nw 167th St, Miami, FL 33169-5710 | 2020-05-06 |
| 1245866896 | Dedicated Physicians Group of Tennessee, Pllc | Non-Pharmacy Dispensing Site | 5131 Quince Rd, Memphis, TN 38117-6846 | 2020-03-16 |
| Street Address |
1056 E RAINES RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38116-6337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802556 | Jacquelyn Delois Kimball | Nurse Practitioner | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2005-06-27 |
| 1649434382 | Us Department of Veteran Affairs | Chronic Disease Hospital | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2008-07-11 |
| 1083724439 | David Wayne Dunn | Pharmacist | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2006-08-30 |
| 1366552499 | Deanna Farrow Phillips | Pharmacist | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2006-08-30 |
| 1417066929 | Dennis Meeks | Social Worker | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2006-08-29 |
| 1104933365 | Alyce Ferguson Langley | Registered Nurse | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2006-08-24 |
| 1306951355 | Joanna Franz-stepniakowska | Internal Medicine | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2006-08-20 |
| 1861405797 | Elsheikh Ahmed Kineish | Clinic/Center | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2006-08-14 |
| 1225040264 | Glynda Hardy Montgomery | Dietitian, Registered | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265296 | Heart To Home Healthcare Services Inc | In Home Supportive Care | 3385 Airways Boulevard, Suite 233, Memphis, TN 38116 | 2020-05-01 |
| 1912526088 | Sanitas Medical Center of Tennessee PC | Family Medicine | 1200 E Raines Rd, Suite 101, Memphis, TN 38116 | 2020-04-09 |
| 1548896715 | Annie M Griffin | In Home Supportive Care | 1014 Cullenwood Drive, Memphis, TN 38116 | 2020-03-19 |
| 1144865700 | Johnnie Mary Lawson | Technician | 5152 Schutt Rd, Memphis, TN 38116 | 2019-11-07 |
| 1013475193 | Peace of Mind Adult Daycare Services, LLC | Clinic/Center | 4283 Millbranch Rd, Memphis, TN 38116 | 2019-03-07 |
| 1023580909 | April Nicole Mallory | Home Health Aide | 3225 Kirby Whitten Space 12, Suite 201, Memphis, TN 38116 | 2018-12-17 |
| 1437641941 | Trinity Community Coalition Outreach | Clinic/Center | 4466 Elvis Presley Blvd Ste 260, Memphis, TN 38116 | 2018-05-31 |
| 1851848386 | Veronica Hudson | Speech-Language Pathologist | 1036 Chambliss Rd, Memphis, TN 38116 | 2016-09-01 |
| 1710434378 | Chloe Bunch | Speech-Language Pathologist | 1076 Chamblee Road, Memphis, TN 38116 | 2016-09-01 |
| 1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
| Find all providers in zip 38116 | ||||
| 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 |
| 1407338320 | Mid-south Foot and Ankle Specialists, Pllc | Non-Pharmacy Dispensing Site | 5677 S Rex Rd, Memphis, TN 38119-3821 | 2018-09-06 |
| 1861935132 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 1325 Eastmoreland Ave, Suite 435, Memphis, TN 38104-3519 | 2016-11-18 |
| 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 | ||||
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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.