Individual provider Active NPI

Margaret O Powell, M.D.

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1114010295
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13202 Issued in MS
Practice address
6075 Poplar Ave
Suite 727
Memphis, TN 38119-4740
Phone
(866) 291-8600
Fax
(901) 795-6060
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13202 MS Primary
Emergency Medicine Physician 207P00000X 13202 MS

Addresses

Primary practice location

6075 Poplar Ave
Suite 727
Memphis, TN 38119-4740

Mailing address

6075 Poplar Ave
Suite 727
Memphis, TN 38119-4740
Phone (866) 291-8600

Other identifiers 1

IdentifierTypeStateIssuer
8009711MedicaidMS

Other names 1

  • Mary Margaret Powell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051006000560 MS Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Internal Medicine 2264457449 Reassigns benefits to 4 organizations
I20150413002427 AL Practitioner - Family Practice 2264457449 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Careplus Lakeview Family Medicine Family Medicine CurrentSince Jan 12, 2009 Accepting new patients
Claiborne County Hospital CurrentSince Sep 7, 2013 Accepting new patients
Reservoir Family Medical Clinic, PA Family Medicine Current Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Jan 12, 2015 Accepting new patients
River Oaks Management Company LLC Family Medicine Current Accepting new patients
Family Health Care Clinic, Inc. Current Accepting new patients
American Family Care, LLC CurrentSince Jan 12, 2015 Accepting new patients
River Oaks Management Company Inc CurrentSince Jan 12, 2009 Accepting new patients
Quality of Life Health Services, Inc CurrentSince Apr 13, 2019 Accepting new patients
Quality of Life Health Services Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Apr 13, 2019 Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Dec 6, 2019 Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Dec 6, 2019 Accepting new patients
Keystone Medical Services of Ms, Inc Emergency Medicine CurrentSince Mar 1, 2012 Accepting new patients
Tishomingo Health Services, Inc. Past Accepting new patients

Locations

420 N 6th St
Gadsden, AL 35901
Phone (256) 546-9907

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

1551 W Government St
Brandon, MS 39042
Phone (601) 825-3163

290 Highway 51 N
Brookhaven, MS 39601
Phone (601) 823-1710

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

4635 Highway 80 E
Pearl, MS 39208
Phone (601) 933-2500

123 McComb Ave
Port Gibson, MS 39150
Phone (601) 437-5141

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7115/brand/1/csg/1/fhir/r4

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1114010295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 POPLAR AVE",
            "address_2": "SUITE 727",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194740",
            "telephone_number": "866-291-8600",
            "fax_number": "901-795-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 POPLAR AVE",
            "address_2": "SUITE 727",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194740",
            "telephone_number": "866-291-8600",
            "fax_number": "901-795-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "MARGARET",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "13202",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "13202",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8009711",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "POWELL",
            "middle_name": "MARGARET",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.