Active NPI
Semmes Murphey Clinic PC
- Durable Medical Equipment & Medical Supplies
- Southaven, MS
National Provider Identifier
1043958283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SEMMES MURPHEY CLINIC PC
- Practice address
- 391 Southcest Circle, Suite 205
6325 Humphreys Blvd
Southaven, MS 38671-3812 - Phone
- (901) 260-6100
- Fax
- (662) 349-0609
- NPI assigned
- May 26, 2022
- 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
- John Lewis
- Title
- Ceo
- Phone
- (901) 522-7700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
391 Southcest Circle, Suite 205
6325 Humphreys Blvd
Southaven, MS 38671-3812
Mailing address
6325 Humphreys Blvd
Memphis, TN 38120-2300
Phone (901) 522-7739
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09014431 | Medicaid | MS |
National Provider Directory
National Provider Directory- Tax ID family
- Karl Misultis MD
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Neuropsychologist
- Memphis, TN
- NPI 1730385915
-
- Durable Medical Equipment & Medical Supplies
- Memphis, TN
- NPI 1942425020
Interoperability endpoints
- https://api.platform.athenahealth.com/28653/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Springfield, IL
- NPI 1831136605
-
- Neurological Surgery Physician
- Memphis, TN
- NPI 1942290739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698624000000",
"number": "1043958283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6325 HUMPHREYS BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202300",
"telephone_number": "901-522-7739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 SOUTHCEST CIRCLE, SUITE 205",
"address_2": "6325 HUMPHREYS BLVD",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386713812",
"telephone_number": "901-260-6100",
"fax_number": "662-349-0609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEMMES MURPHEY CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-26",
"last_updated": "2023-10-30",
"certification_date": "2022-06-09",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "901-522-7700"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09014431",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.