Hickory Hill Family Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD13053 Issued in TN

Legal business name

HICKORY HILL FAMILY MEDICAL CLINIC

Practice address

3530 Hickory Hill Rd
Memphis, TN 38115-3827

Phone

(901) 794-5806

Fax

(901) 794-7922

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Philip Grayer Mintz, M.D.

Title

Partner

Phone

(901) 794-5806

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033210604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 HICKORY HILL RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381153827",
            "telephone_number": "901-794-5806",
            "fax_number": "901-794-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 HICKORY HILL RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381153827",
            "telephone_number": "901-794-5806",
            "fax_number": "901-794-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKORY HILL FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MINTZ",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "GRAYER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "901-794-5806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD13053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Hickman
• Jonathan Todd Hickman, LCSW
• Jordan Hickman
• Joyce A Hickman, B.S.
• Hickory Hill Dental Care
• Hicks Consulting PLLC
• Anthony Hicks, MD
• Austin Brianne Hicks, BA
• Brannon Rice Hicks Jr., MD
• Heather Elaine Hicks, MSN, APRN, FNP-C

• Family Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.