Individual provider Active NPI

Megan Bartholomew, PA

  • Physician Assistant
  • Memphis, TN
National Provider Identifier
1144739798
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601013259 Issued in MI
Practice address
1325 Eastmoreland Ave Ste 365
Memphis, TN 38104-7542
Phone
(901) 272-6030
Fax
(901) 516-8450
NPI assigned
Sep 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601013259 MI Primary
Surgical Physician Assistant 363AS0400X 5538 TN

Addresses

Primary practice location

1325 Eastmoreland Ave Ste 365
Memphis, TN 38104-7542

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other practice location 1

7655 Poplar Ave Ste 350
Germantown, TN 38138-4933
Phone (901) 761-2470

Other practice location 2

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2698

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbartholomew12078625@direct.sanfordhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN, MI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20171020000329 KY Practitioner - Physician Assistant 4082980974 Reassigns benefits to 1 organization
I20230712000367 TN Practitioner - Physician Assistant 4082980974 Reassigns benefits to 1 organization
I20250923002672 MI Practitioner - Physician Assistant 4082980974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

Hospital & facility affiliations

  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5538TNMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sutherland Cardiology Clinic, P.C. Current Accepting new patients
Henry Ford Health System CurrentSince Sep 1, 2025 Accepting new patients
Henry Ford Health System Physician Assistant CurrentSince Sep 1, 2025 Accepting new patients

Locations

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

7460 Wolf River Blvd
Memphis, TN 38138
Phone (901) 516-6792

Interoperability endpoints

  • Direct secure messaging: mbartholomew12078625@direct.sanfordhealth.org
  • Direct secure messaging: meganbartholomew@sccpc.allscriptsdirect.net
  • Direct secure messaging: mbartholomew30177@mlh.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1144739798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 EASTMORELAND AVE STE 365",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047542",
            "telephone_number": "901-272-6030",
            "fax_number": "901-516-8450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7655 Poplar Ave Ste 350",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381384933",
            "country_code": "US",
            "telephone_number": "901-761-2470",
            "fax_number": "901-767-4898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2799 W Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022608",
            "country_code": "US",
            "telephone_number": "313-916-2698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTHOLOMEW",
        "first_name": "MEGAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601013259",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "5538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbartholomew12078625@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "5225 23rd Ave S",
            "city": "Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "581047927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.