TMG Medical Management

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TMG MEDICAL MANAGEMENT

Practice address

714 NW Leonardo Cir
Port St Lucie, FL 34986-4354

Phone

(954) 448-3913

NPI assigned

Mar 26, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tammy Grisham, ARPNNPI 1619489473

Title

Nurse Practitioner

Phone

(954) 448-3913

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tammy M Grisham, NP-C

  • Family Nurse Practitioner
  • Port St Lucie, FL
  • NPI 1619489473

  Single Specialty

  Medicare reassignment NPD Authorized official
• Samerah G Razuman, M.D.

  • Nephrology Physician
  • Fort Pierce, FL
  • NPI 1184672164
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1013544063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 NW LEONARDO CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864354",
            "telephone_number": "954-448-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 NW LEONARDO CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864354",
            "telephone_number": "954-448-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMG MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "GRISHAM",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "954-448-3913",
        "authorized_official_credential": "ARPN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy S Salib DMD PA
• James Manley Tinsley Jr., D.D.S.
• Pablo H Tirado, MD
• Chrismarthe Tisma, RN, LNC, CFN
• TJ Wellness, LLC
• Elizabeth Toback, LMHC
• Jacqueline Marie Tobias, MSW, RCSWI, MCAP
• Amanda Tobon
• Cynthia B Todd, PH.D.
• Katelyn Toelle

• Family Nurse Practitioner in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.

Verify at the official NPI Registry.