Individual provider Active NPI

Nancy Chavez

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1174100291
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
71856 Issued in TN
Practice address
3030 Covington Pike Ste 100
Memphis, TN 38128-5049
Phone
(901) 383-8889
NPI assigned
Mar 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 71856 TN Primary

Addresses

Primary practice location

3030 Covington Pike Ste 100
Memphis, TN 38128-5049

Mailing address

4007 Pippin St
Memphis, TN 38128-2267
Phone (901) 376-7383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241018000826 TN Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 1153727136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Camellia FoundationGroup PAC ID 0547439606, 11 clinicians
Medicos General PLLCGroup PAC ID 1052362167, 9 clinicians

Practice addresses (Care Compare)

3030 Covington Pike
Suite 100
Memphis, TN 38128-5049
Phone (901) 432-5727

3040 Covington Pike
Suite 100
Memphis, TN 38128-5016
Phone (901) 729-7801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medicos General PLLC Family Medicine CurrentSince Sep 9, 2024 Accepting new patients
The Camellia Foundation Family Medicine CurrentSince Sep 9, 2024 Accepting new patients

Locations

3040 Covington Pike
Memphis, TN 38128
Phone (901) 390-7921

3030 Covington Pike
#200
Memphis, TN 38128
Phone (901) 432-5727

3040 Covington Pike
#100
Memphis, TN 38128
Phone (901) 729-7801

3068 Covington Pike
Memphis, TN 38128
Phone (901) 377-6525

3030 Covington Pike
Ste 100
Memphis, TN 38128
Phone (615) 277-0760

Interoperability endpoints

  • Direct secure messaging: nancy.chavezmd.p1@direct.churchhealthcenter.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1174100291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 PIPPIN ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282267",
            "telephone_number": "901-376-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 COVINGTON PIKE STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381285049",
            "telephone_number": "901-383-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "NANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "71856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.