NPIMap

Organization Active NPI

Memphis Family Care

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1144835539
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEMPHIS FAMILY CARE
Practice address
5818 Winchester Rd
Memphis, TN 38115-4711
Phone
(901) 590-2202
Fax
(901) 433-9326
NPI assigned
Sep 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Authorized official

Name
Damaris Davis
Title
Clinic Administrator
Phone
(901) 590-2202

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

5818 Winchester Rd
Memphis, TN 38115-4711

Mailing address

5818 Winchester Rd
Memphis, TN 38115-4711
Phone (901) 590-2022

Other identifiers 4

IdentifierTypeStateIssuer
1104879329OtherFNP
1568571404OtherMD
Q050044MedicaidTN
P90840OtherUPIN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://healow.com/apps/provider/vanessa-davis-2360528

National Provider Directory

National Provider Directory

Locations

5818 Winchester Rd
Memphis, TN 38115
Phone (901) 590-2202

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1144835539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5818 WINCHESTER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154711",
            "telephone_number": "901-590-2022",
            "fax_number": "901-433-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5818 WINCHESTER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154711",
            "telephone_number": "901-590-2202",
            "fax_number": "901-433-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2021-11-05",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "901-590-2202"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP",
            "identifier": "1104879329",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD",
            "identifier": "1568571404",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q050044",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "P90840",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://healow.com/apps/provider/vanessa-davis-2360528",
            "affiliation": "N",
            "endpointDescription": "Website with secure password",
            "address_1": "5818 Winchester Rd",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381154711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.