PATRIOT HEALTHCARE OF TENNESSEE, LLC (NPI# 1922577386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922577386 |
| Entity Type | Organization |
| Organization Name | PATRIOT HEALTHCARE OF TENNESSEE, LLC |
| Practice Address |
1407 Union Avenue Suite 305 Memphis TN 38104 |
| Mailing Address |
100 Arricola Avenue St. Augustine FL 32080 |
| Practice Telephone | 9016748230 |
| Mailing Telephone | 9048254368 |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2018-11-15 |
| Authorized Official Name | DAVID A. CULVER (ADMINISTRATOR) |
| Authorized Official Telephone | 9048254368 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PHC of TN Union | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134698590 | Patriot Healthcare of Tennessee, LLC | Family Medicine | 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 | 2018-11-15 |
| Street Address |
1407 UNION AVENUE SUITE 305 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518924042 | Robert S Wilroy | Medical Genetics | 1407 Union Avenue, Suite 200, Memphis, TN 38104-3600 | 2006-04-27 |
| 1487099214 | Brooke Anne Nadzadi | Nurse Anesthetist, Certified Registered | 1407 Union Avenue, Suite 100, Memphis, TN 38104-3665 | 2013-05-07 |
| 1467554279 | Georgette R Sevier | Pediatrics | 1407 Union Avenue, Suite 200, Memphis, TN 38104-3600 | 2006-09-02 |
| 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 | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134698590 | Patriot Healthcare of Tennessee, LLC | Family Medicine | 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 | 2018-11-15 |
| 1235244450 | Monica Lynn Warhaftig | Family Medicine | 452 Perkins Extd, Memphis, TN 38117-3802 | 2006-08-20 |
| 1801896881 | Elbert Edwin Hines IIi | Family Medicine | 6263 Poplar Ave, Ste 1052, Memphis, TN 38119-4736 | 2005-07-29 |
| 1255702973 | Tennessee Phs Md LLC | Family Medicine | 9155 Crestwyn Hills Dr, Memphis, TN 38125-8501 | 2015-10-08 |
| 1003162637 | Arvind Reddy Ankireddypalli | Family Medicine | 1325 Eastmoreland Ave Ste 150, Memphis, TN 38104-3555 | 2012-08-01 |
| 1699947713 | Poplar Primary Care PC | Family Medicine | 3445 Poplar Ave, Suite100, Memphis, TN 38111-4667 | 2008-03-28 |
| 1083758122 | E E Hines IIi Md, PC | Family Medicine | 6263 Poplar Ave, Ste 1052, Memphis, TN 38119-4701 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891096061 | At Home Primary Care Inc | Family Medicine | 4662 E Circle Dr Nw, Cleveland, TN 37312-4101 | 2010-11-04 |
| 1376747691 | Np Care LLC | Family Medicine | 438 North Water Ave, Gallatin Health Care, Gallatin, TN 37066 | 2007-06-12 |
| 1598887473 | Naga Vijaya Oruganti | Family Medicine | 625 N Highland Ave, Murfreesboro, TN 37130-2495 | 2007-04-04 |
| 1932295342 | Larry Wayne Barnes | Family Medicine | 2330 Thornton Taylor Pkwy, Suite A, Fayetteville, TN 37334-3672 | 2006-10-04 |
| 1982713053 | Monica K. Crane | Family Medicine | 1400 Dowell Springs Blvd Ste 100, Knoxville, TN 37909-2457 | 2006-08-30 |
| 1225089725 | Rajeev Gupta | Family Medicine | 1621 W Morris Blvd Ste C, Morristown, TN 37813-2832 | 2006-05-12 |
| 1871565465 | Halden Wayne Hooper Jr. | Family Medicine | 1156 Nashville Pike, Gallatin, TN 37066-3110 | 2006-02-07 |
| 1700497302 | Genesis Neuroscience Clinic LLC | Family Medicine | 1400 Dowell Springs Blvd Ste 340, Knoxville, TN 37909-2445 | 2020-08-17 |
| 1700394863 | Starling Medical Practice, LLC | Family Medicine | 1000 E 3rd St Ste 100, Chattanooga, TN 37403-2148 | 2018-01-11 |
| 1376089698 | Genneuro, Pllc | Family Medicine | 1400 Dowell Springs Blvd, Suite 100, Knoxville, TN 37909-2456 | 2017-01-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PATRIOT HEALTHCARE OF TENNESSEE, LLC.
| 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.