Organization Active NPI

Eden Pediatrics, PLLC

  • Pediatrics Physician
  • Memphis, TN
National Provider Identifier
1164280897
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Katherine Barger, MDNPI 1326307596
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.