NPIMap

Organization Active NPI

Primehealth Medical Center, PC

  • Internal Medicine Physician
  • Bartlett, TN
National Provider Identifier
1104915982
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIMEHEALTH MEDICAL CENTER, PC
Practice address
6637 Summer Knoll Cir
Suite 101
Bartlett, TN 38134-2875
Phone
(901) 372-5260
Fax
(901) 386-8726
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Dr. Olu Faleye, M.D.
Title
President/Ceo
Phone
(901) 372-5260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6637 Summer Knoll Cir
Suite 101
Bartlett, TN 38134-2875

Mailing address

6637 Summer Knoll Cir
Suite 101
Bartlett, TN 38134-2875
Phone (901) 372-5260

National Provider Directory

National Provider Directory

Locations

6637 Summer Knoll Cir
Ste 101
Bartlett, TN 38134
Phone (901) 372-5260

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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1104915982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6637 SUMMER KNOLL CIR",
            "address_2": "SUITE 101",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342875",
            "telephone_number": "901-372-5260",
            "fax_number": "901-386-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6637 SUMMER KNOLL CIR",
            "address_2": "SUITE 101",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342875",
            "telephone_number": "901-372-5260",
            "fax_number": "901-386-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMEHEALTH MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "FALEYE",
        "authorized_official_first_name": "OLU",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "901-372-5260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.