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PEABODY FAMILY CARE PC NPI 1023057437


NPI Information

NPI: 1023057437
Provider Name: PEABODY FAMILY CARE, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1325 EASTMORELAND AVENUE
SUITE 150
MEMPHIS, TN
ZIP 38104
Phone: (901) 725-0648
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PEABODY FAMILY CARE, PC is a family medicine in Memphis, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PEABODY FAMILY CARE, PC NPI is 1023057437. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1325 EASTMORELAND AVENUE
SUITE 150
MEMPHIS, TN
ZIP 38104-519
Phone: (901) 725-0648
Fax: (901) 725-1037

The provider's authorized official is Pam Alexander .
The authorized official title is Administrator and has the following contact phone number (901) 756-5565.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 10/12/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
109015606MEDICAIDMISSISSIPPI
28P078OTHERARKANSASBCBS AR-GROUP#
33723978MEDICAIDTENNESSEE
4CG9962OTHERRAILROAD MEDICARE
53723978MEDICARE PINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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