Total Health Medical Clinic, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

18449 Issued in TN

Legal business name

TOTAL HEALTH MEDICAL CLINIC, LLC

Practice address

1204 W Poplar Ave
Suite 102
Collierville, TN 38017-3103

Phone

(901) 610-3135

NPI assigned

Sep 2, 2015

Last updated

Feb 19, 2016By 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

Mrs. Candace Harris, FNPNPI 1043636244

Title

FNP/Co-Owner

Phone

(901) 610-3135

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Candace Harris, FNP-C

  • Family Nurse Practitioner
  • Collierville, TN
  • NPI 1043636244
  Authorized official Same address or phone

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1124496575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 W POPLAR AVE",
            "address_2": "SUITE 102",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380173103",
            "telephone_number": "901-610-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 W POPLAR AVE",
            "address_2": "SUITE 102",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380173103",
            "telephone_number": "901-610-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "FNP/CO-OWNER",
        "authorized_official_telephone_number": "901-610-3135",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q018654",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth G Tobey, FNP APRN-BC
• Tommy C. Thompson,M.D. (Thompson Clinic)
• Jeffery Tompkins, PHARMD
• Top Flight Medical
• Josephine T Tope-Ojo
• Total Renal Care Inc (Collierville Dialysis)
• Georgia Touliatos, PTA
• Patrick Christopher Toy, M.D.
• Edward Joseph Trouy, D.D.S.
• Benjamin Tubbs, PHARM.D

• Family Nurse Practitioner in Collierville, TN
• Providers in Collierville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.