Memphis Emergency Specialists PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MS6971 Issued in MS

Legal business name

MEMPHIS EMERGENCY SPECIALISTS PC

Doing business as

Southern Family Medical Clinic

Practice address

6426 Highway 51 N
Horn Lake, MS 38637-2474

Phone

(662) 342-4080

Fax

(662) 342-4933

NPI assigned

Aug 31, 2006

Last updated

Jun 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael T Zanone, MD

Title

Medical Director

Phone

(662) 342-4080

Specialties & licenses 1

Addresses

Other names 1

• SOUTHERN FAMILY MEDICAL CLINIC Doing business as

Locations

Practitioners 1

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.

• Randall A Davis, MD

  • Nuclear Radiology Physician
  • Germantown, TN
  • NPI 1174526339
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1073624995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6426 HIGHWAY 51 N",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386372474",
            "telephone_number": "662-342-4080",
            "fax_number": "662-342-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6426 HIGHWAY 51 N",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386372474",
            "telephone_number": "662-342-4080",
            "fax_number": "662-342-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS EMERGENCY SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "ZANONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "662-342-4080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": "MS6971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHERN FAMILY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam C Marshall, PTA
• John Barrett Martindale, PHARM.D.
• Justin Mathis, PHARM.D
• William P McAlexander, DMD
• McKenzie Alexandra McClanahan, DPT
• Mid South Chiropractic of Horn Lake PLLC
• Ragan Danielle Middleton, SLPMI
• William E. Middleton Jr., D.D.S.
• Midsouth Medical Specialties LLC (Super Drug)
• Midsouth Medical Specialties LLC (Super Drugs)

• Primary Care Clinic/Center in Horn Lake, MS
• Providers in Horn Lake, MS by specialty
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.