Jeffrey E Banham (NPI# 1477078962, PAC ID# 1153687892) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1477078962 |
| PAC ID by PECOS | 1153687892 |
| Professional Enrollment ID | I20171113001335 |
| Full Name | Jeffrey E Banham |
| Organization Legal Name | PRIMARY CARE GROUP, LLC |
| Address |
2589 Appling Rd Suite 101 Bartlett TN 38133-5099 |
| Phone Number | 9012498842 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0941480131 |
| Number of Group Practice Members | 94 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 2589 Appling Rd, Suite 101, Bartlett, TN 38133-5099 | 9012498842 | PRIMARY CARE GROUP, LLC |
| Organization Legal Name | PRIMARY CARE GROUP, LLC |
| Physicians | 100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bonnie L Barnes | Family Medicine | Primary Care Group, LLC | 3725 Champion Hills Dr, Suite 2000, Memphis, TN 38125-0502 |
| Penina Danziger | Nurse Practitioner | Primary Care Group, LLC | 6570 Summer Oaks Cv, Bartlett, TN 38134-2857 |
| Nora E Maldonado | Family Medicine | Primary Care Group, LLC | 9047 Poplar Ave, Suite 105, Germantown, TN 38138-6401 |
| Kyle W Kimbrough | Physician Assistant | Primary Care Group, LLC | 7235 Hacks Cross Rd, Olive Branch, MS 38654-4213 |
| Regina Forbess Goulder | Nurse Practitioner | Primary Care Group, LLC | 76 Capital Way, Suite C, Atoka, TN 38004-6832 |
| Jennifer C Sanders | Nurse Practitioner | Primary Care Group, LLC | 7163 Goodman Rd, Olive Branch, MS 38654-1904 |
| Michelle D Kitson | Internal Medicine | Primary Care Group, LLC | 5182 Sanderlin Ave, Suite 3, Memphis, TN 38117-4354 |
| Julie W Crafton | Nurse Practitioner | Primary Care Group, LLC | 7690 Wolf River Circle, Germantown, TN 38138-1744 |
| Lee Wilkes Mccallum | Family Medicine | Primary Care Group, LLC | 8115 Country Village Dr, Suite 105, Cordova, TN 38016-2030 |
| Mark L Reed | General Practice | Primary Care Group, LLC | 1211 Union Ave, Suite 700, Memphis, TN 38104-6600 |
| Street Address |
2589 APPLING RD SUITE 101 |
| City | BARTLETT |
| State | TN |
| Zip | 38133-5099 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawn M Barrom | Nurse Practitioner | 7424 Hwy 64, Suite 118, Bartlett, TN 38133 | |
| Christopher L Hendrix | Podiatry | 7400 Hwy 64, Bartlett, TN 38133 | |
| Blandine Francois | Nurse Practitioner | The Little Clinic of Tennessee LLC | 7615 Us Hwy 70, Bartlett, TN 38133-2054 |
| Miranda Faith King Mcghee | Nurse Practitioner | The Little Clinic of Tennessee LLC | 7615 Us Hwy 70, Bartlett, TN 38133-2054 |
| Joni Lea Bratton | Nurse Practitioner | The Little Clinic of Tennessee LLC | 7615 Us Hwy 70, Bartlett, TN 38133-2054 |
| Leandra Peacock | Nurse Practitioner | The Little Clinic of Tennessee LLC | 7615 Us Hwy 70, Bartlett, TN 38133-2054 |
| Lori Stepp | Nurse Practitioner | The Little Clinic of Tennessee LLC | 7615 Us Hwy 70, Bartlett, TN 38133-2054 |
| Lauren Elise Rosenthall | Nurse Practitioner | The Little Clinic of Tennessee LLC | 7615 Us Hwy 70, Bartlett, TN 38133-2054 |
| Crystal Dinesse Deberry | Clinical Social Worker | Compassion Mental Health Inc | 7556 Us Hwy 70, Bartlett, TN 38133-2686 |
| Shannon Kimmel | Qualified Audiologist | Mid-south Ear, Nose, and Throat, P.C. | 7378 Yale Rd, Bartlett, TN 38133-3604 |
| Find all physicians in zip 38133 | |||
| City | BARTLETT |
| Zip Code | 38133 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BARTLETT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jeffrey E Banham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.