Active NPI
Preventivemd, PLLC
- Internal Medicine Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PREVENTIVEMD, PLLC
- Practice address
- 1407 Union Ave Ste 305
Memphis, TN 38104-3615 - Phone
- (901) 609-2444
- NPI assigned
- Aug 19, 2024
- Last updated
- Sep 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd V Robinson
- Title
- Member
- Phone
- (901) 218-6771
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | ||
| Family Medicine Physician | 207Q00000X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
1407 Union Ave Ste 305
Memphis, TN 38104-3615
Mailing address
1407 Union Ave Ste 305
Memphis, TN 38104-3615
Phone (901) 609-2444
Other practice location 1
4066 Summer Ave
Memphis, TN 38122-5262
Phone (901) 609-2444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Preventivemd PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1386478949
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1386478949
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1831291533
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1447271291
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1700889649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725494400000",
"number": "1003648890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 UNION AVE STE 305",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043615",
"telephone_number": "901-609-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 UNION AVE STE 305",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043615",
"telephone_number": "901-609-2444"
}
],
"practiceLocations": [
{
"address_1": "4066 Summer Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381225262",
"country_code": "US",
"telephone_number": "901-609-2444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PREVENTIVEMD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-19",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "901-218-6771"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- Prestige Senior Living of Tennessee
- Prestigious Transportation, LLC
- Prestigious Wellness Transportation
- Prestigious Wellness Transportation
- Preventive Internal Medicine Group PLLC
- Preventivemd, PLLC
- Jamie E Prewett
- Mary Ann Rabi Asturias Pria
- Stacey Arnett Price-Lewis, MSW,CMSW
- Alexandria Price, OTD,OTR/L,LSVT-BIG
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.