Organization Active NPI

Tenn Med Clinic

  • Rehabilitation Practitioner
  • Memphis, TN
National Provider Identifier
1164959466
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
TENN MED CLINIC
Practice address
5084 Old Summer Rd
Memphis, TN 38122-4403
Phone
(901) 708-2210
NPI assigned
May 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2017

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

Authorized official

Name
Emma Cull
Title
Coo
Phone
(678) 469-5011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X Primary

Addresses

Primary practice location

5084 Old Summer Rd
Memphis, TN 38122-4403

Mailing address

5821 Southwest Fwy Ste 550
Houston, TX 77057-7531
Phone (901) 708-2210

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494979200000",
    "number": "1164959466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 SOUTHWEST FWY STE 550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577531",
            "telephone_number": "901-708-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5084 OLD SUMMER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381224403",
            "telephone_number": "901-708-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENN MED CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2017-05-17",
        "status": "A",
        "authorized_official_last_name": "CULL",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "678-469-5011"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "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 May 17, 2017; 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.