Shailesh Patel (NPI# 1518127620, PAC ID# 7113071382) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1518127620 |
| PAC ID by PECOS | 7113071382 |
| Professional Enrollment ID | I20090822000014 |
| Full Name | Shailesh Patel |
| Organization Legal Name | PRIMARY CARE GROUP, LLC |
| Address |
7163 Goodman Rd Olive Branch MS 38654-1904 |
| Phone Number | 6628746507 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0941480131 |
| Number of Group Practice Members | 94 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250167 | METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL |
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 7691 Poplar Ave, Germantown, TN 38138-3904 | 9015161290 | METHODIST INPATIENT PHYSICIANS LLC |
| 1211 Union Ave, Suite 700, Memphis, TN 38104-6600 | 9015160843 | PRIMARY CARE GROUP, LLC |
| 3725 Champion Hills Dr, Suite 2500, Memphis, TN 38125-2597 | 9012026034 | PRIMARY CARE GROUP, LLC |
| 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 6629329000 | METHODIST INPATIENT PHYSICIANS LLC |
| 4250 Bethel Rd, Olive Branch, MS 38654-8737 | CARR, PLLC | |
| 7163 Goodman Rd, Olive Branch, MS 38654-1904 | 6628746507 | PRIMARY CARE GROUP, LLC |
| 7235 Hacks Cross Rd, Olive Branch, MS 38654-4213 | 6628937878 | 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 |
| Jeffrey E Banham | Nurse Practitioner | Primary Care Group, LLC | 2589 Appling Rd, Suite 101, Bartlett, TN 38133-5099 |
| 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 |
| Street Address |
7163 GOODMAN RD |
| City | OLIVE BRANCH |
| State | MS |
| Zip | 38654-1904 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer C Sanders | Nurse Practitioner | Primary Care Group, LLC | 7163 Goodman Rd, Olive Branch, MS 38654-1904 |
| John W Allen Jr. | Internal Medicine | Primary Care Group, LLC | 7163 Goodman Rd, Olive Branch, MS 38654-1904 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan Musso | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Clare E Benson | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Shavon Conerly | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Steven Hopkins | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Nicholas Bailey | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Emily Michele Terrell | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| John H Desutter | Chiropractic | 9659 Goodman Rd, Olive Branch, MS 38654-1725 | |
| Vickie D Long | Nurse Practitioner | 9684 Old Goodman Rd, Olive Branch, MS 38654-1726 | |
| Alexis N Johnson | Physician Assistant | Advanced Dermatology and Skin Cancer Associates, Pllc | 7203 Goodman Rd, Olive Branch, MS 38654-1906 |
| Jennifer Hinders | Physician Assistant | Advanced Dermatology and Skin Cancer Associates, Pllc | 7203 Goodman Rd, Olive Branch, MS 38654-1906 |
| Find all physicians in zip 38654 | |||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | OLIVE BRANCH + INTERNAL MEDICINE |
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| 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.