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GERIATRIC GROUP OF MEMPHISPLLC NPI 1992702922


NPI Information

NPI: 1992702922
Provider Name: GERIATRIC GROUP OF MEMPHIS,PLLC

Other Name: GERIATRIC GROUP OF MEMPHIS, PLLC

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
2714 UNION AVENUE EXT
SUITE 150
MEMPHIS, TN
ZIP 38112
Phone: (901) 725-0872
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GERIATRIC GROUP OF MEMPHIS,PLLC is a geriatric medicine internal medicine in Memphis, TN. The provider is an internist who has 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. GERIATRIC GROUP OF MEMPHIS,PLLC NPI is 1992702922. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Geriatric Group Of Memphis, Pllc.

The provider's business location address is:

2714 UNION AVENUE EXT
SUITE 150
MEMPHIS, TN
ZIP 38112-436
Phone: (901) 725-0872
Fax: (901) 278-6934

The provider's authorized official is Jenny Wren Mccalla .
The authorized official title is Operations Mgr and has the following contact phone number (901) 725-0872.

The enumeration date for this NPI number is 7/5/2005 and was last updated on 4/7/2016.


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
1207RG0300XInternal MedicineGeriatric 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
13726736MEDICAIDTENNESSEE
23726736MEDICARE 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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