Active NPI
Eden Pediatrics, PLLC
- Pediatrics Physician
- Memphis, TN
National Provider Identifier
1164280897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- EDEN PEDIATRICS, PLLC
- Practice address
- 815 N Graham St
Memphis, TN 38122-2506 - Phone
- (901) 356-7478
- NPI assigned
- Mar 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine Barger, MD
- Title
- Owner/Ceo
- Phone
- (901) 356-7478
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
815 N Graham St
Memphis, TN 38122-2506
Mailing address
815 N Graham St
Memphis, TN 38122-2506
Phone (901) 356-7478
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Memphis, TN
- NPI 1326307596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709769600000",
"number": "1164280897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 N GRAHAM ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381222506",
"telephone_number": "901-356-7478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 N GRAHAM ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381222506",
"telephone_number": "901-356-7478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDEN PEDIATRICS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-07",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A",
"authorized_official_last_name": "BARGER",
"authorized_official_first_name": "KATHERINE",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "901-356-7478",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.