Cresthaven Internal Medicine Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CRESTHAVEN INTERNAL MEDICINE ASSOCIATES

Practice address

6799 Great Oaks Road # 250
Cresthaven Internal Medicine
Memphis, TN 38138

Phone

(901) 821-8300

Fax

(901) 259-9793

NPI assigned

Apr 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Deaton

Title

Practice Administrator

Phone

(901) 821-8300

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164489175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000 DEPT 558",
            "address_2": "CRESTHAVEN INTERNAL MEDICINE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38148",
            "telephone_number": "901-821-8300",
            "fax_number": "901-259-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6799 GREAT OAKS ROAD # 250",
            "address_2": "CRESTHAVEN INTERNAL MEDICINE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-821-8300",
            "fax_number": "901-259-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTHAVEN INTERNAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEATON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "901-821-8300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "19006",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brent Crenshaw, PHARM D
• Lisa Crenshaw, FNP
• Mallory Crenshaw
• Thomas H Crenshaw, MD
• Crescent Medical Inc.
• Crestwyn Health Group, LLC
• Crestwyn Health Group, LLC
• Jill Ann Crews, MS,CCC-SLP
• Tanya Crigler, COTA
• Brad Crihfield, PHARM.D.

• Internal Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.