Organization Active NPI

Geriatrics & Palliative Care PLLC

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1073387148
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GERIATRICS & PALLIATIVE CARE PLLC
Practice address
943 Whitney Ave
Memphis, TN 38127-7734
Phone
(901) 358-0326
Fax
(901) 358-9010
NPI assigned
Nov 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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

Authorized official

Name
Nidal Rahal, MDNPI 1235106154
Title
Manager
Phone
(901) 279-4360

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

943 Whitney Ave
Memphis, TN 38127-7734

Mailing address

943 Whitney Ave
Memphis, TN 38127-7734
Phone (901) 279-4360

Other practice location 1

7820 Walking Horse Cir
Germantown, TN 38138-2143
Phone (901) 279-4360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240417000884 TN Part B Supplier - Clinic/Group Practice 4688013196 Receives reassigned benefits from 2 practitioners
Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Locations

943 Whitney Ave
Memphis, TN 38127
Phone (901) 279-4360

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725667200000",
    "number": "1073387148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 WHITNEY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381277734",
            "telephone_number": "901-279-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 WHITNEY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381277734",
            "telephone_number": "901-358-0326",
            "fax_number": "901-358-9010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7820 Walking Horse Cir",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381382143",
            "country_code": "US",
            "telephone_number": "901-279-4360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GERIATRICS & PALLIATIVE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A",
        "authorized_official_last_name": "RAHAL",
        "authorized_official_first_name": "NIDAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "901-279-4360",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.

Verify at the official NPI Registry.