Active NPI
Lattimore Madison Michael II, MD
- Neurological Surgery Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 32108
- Practice address
- 6325 Humphreys Blvd
Memphis, TN 38120-2300 - Phone
- (901) 522-7700
- Fax
- (901) 259-2022
- NPI assigned
- Nov 2, 2005
- Last updated
- Jul 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | E-12953 | AR | |
| Neurological Surgery Physician | 207T00000X | 19724 | MS | |
| Neurological Surgery Physician | 207T00000X | 32108 | TN | Primary |
Addresses
Primary practice location
6325 Humphreys Blvd
Memphis, TN 38120-2300
Mailing address
6325 Humphreys Blvd
Memphis, TN 38120-2300
Phone (901) 522-7700
Other practice location 1
100 Baptist Memorial Cir Ste 202
Oxford, MS 38655-4476
Phone (662) 636-2451
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3328581 | Medicaid | TN | |
| 008470507 | Medicaid | MS | |
| 196574001 | Medicaid | AR |
Other names 1
- L Madison Michael II
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- University of Tennessee, HSC, College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
391 Southcrest Cir
Suite 205
Southaven, MS 38671-6729
Phone (901) 260-6100
6325 Humphreys Blvd
Memphis, TN 38120-2300
Phone (901) 522-7700
Hospital & facility affiliations
- Methodist Hospitals of Memphis
- Baptist Memorial Hospital
- Magnolia Regional Health Center
- Baptist Memorial Hospital Desoto
- Jackson-Madison County General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.8 of 100
- Quality
- 67.04
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.62
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 14 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19724 | MS | MD | Neurological Surgery Physician |
| 32108 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Medical Group Inc | Neurological Surgery | Current | Accepting new patients |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Semmes-Murphey Clinic PC | Neurological Surgery | Current | Accepting new patients |
| Semmes-Murphey Clinic PC | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients |
Locations
1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820
909 Enterprise Dr
Jonesboro, AR 72401
Phone (870) 336-1100
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
100 Baptist Memorial Cir
Ste 202
Oxford, MS 38655
Phone (662) 636-2451
391 Southcrest Cir
Ste 205
Southaven, MS 38671
Phone (662) 536-0900
6011 Airline Rd
Ste 102
Arlington, TN 38002
Phone (901) 557-7077
2996 Kate Bond Rd
Ste 211
Bartlett, TN 38133
Phone (731) 307-8888
9950 Crooked Creek Rd
Collierville, TN 38017
Phone (662) 822-3298
700 W Forest Ave
Ste 200
Jackson, TN 38301
Phone (731) 423-1267
6325 Humphreys Blvd
Memphis, TN 38120
Phone (901) 522-7739
Interoperability endpoints
- lattimore.michael.1@28653.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
MS, Neurological Surgery
-
dba NEA Baptist Clinic
- Multi-Specialty Clinic/Center
- Jonesboro, AR
- NPI 1861721839
-
dba BMG East Memphis Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- Clinical Neuropsychologist
- Memphis, TN
- NPI 1730385915
-
dba NEA Baptist Mobile Health Unit
- Mobile Mammography Clinic/Center
- Jonesboro, AR
- NPI 1417721689
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
-
dba Le Bonheur Children's Hospital
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
dba Le Bonheur Children's Hospital - Germantown
- Children's Hospital
- Germantown, TN
- NPI 1649654450
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
- General Acute Care Hospital
- Corinth, MS
- NPI 1699756445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1164413928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6325 HUMPHREYS BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202300",
"telephone_number": "901-522-7700",
"fax_number": "901-522-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6325 HUMPHREYS BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202300",
"telephone_number": "901-522-7700",
"fax_number": "901-259-2022"
}
],
"practiceLocations": [
{
"address_1": "100 Baptist Memorial Cir Ste 202",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "MS",
"postal_code": "386554476",
"country_code": "US",
"telephone_number": "662-636-2451",
"fax_number": "662-636-2290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICHAEL",
"first_name": "LATTIMORE",
"middle_name": "MADISON",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "AR",
"license": "E-12953",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MS",
"license": "19724",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TN",
"license": "32108",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3328581",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008470507",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "196574001",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "L",
"last_name": "MICHAEL",
"middle_name": "MADISON",
"suffix": "II",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.