Darsalud Community Center Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DARSALUD COMMUNITY CENTER INC

Doing business as

Lifedoc Health

Practice address

6063 Mount Moriah Road Ext Ste 4
Memphis, TN 38115-2665

Phone

(901) 531-8800

Fax

(901) 531-8801

NPI assigned

Jun 25, 2019

Last updated

Apr 21, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Fuller, MAML, CPC

Title

Billing and Credentialing Manager

Phone

(901) 922-5951

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LIFEDOC HEALTH Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Darsalud Community Center Inc

  dba Lifedoc Pharmacy

  • Community/Retail Pharmacy
  • Memphis, TN
  • NPI 1841158375

  1759706567

  Same PAC ID

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

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Darsalud Community Center Inc

  dba Lifedoc Pharmacy

  • Community/Retail Pharmacy
  • Memphis, TN
  • NPI 1841158375
  NPPES parent name

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angie Jean Childers, MD

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1750391116
  Medicare reassignment Care Compare group NPD
• Lydia Marie Franklin, PMHNP-BC,FNP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1083673792

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Lefonda Hill, APN, FNP-BC

  • Nurse Practitioner
  • Memphis, TN
  • NPI 1285059733
  Medicare reassignment Care Compare group NPD
• Kelly Jane Hoy, OD

  • Optometrist
  • Memphis, TN
  • NPI 1437177318
  Medicare reassignment Care Compare group NPD
• Kelsey Alexandra James, DNP

  • Family Nurse Practitioner
  • Germantown, TN
  • NPI 1154992956
  Medicare reassignment Care Compare group NPD
• Claudia P. Neira, FNP

  • Nurse Practitioner
  • Memphis, TN
  • NPI 1598866568
  Medicare reassignment Care Compare group NPD
• Andrew Connor Ragin, DNP, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Memphis, TN
  • NPI 1477199354
  Medicare reassignment Care Compare group NPD
• Pedro Velasquez, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Memphis, TN
  • NPI 1003874801
  Medicare reassignment Care Compare group NPD
• Stephanie Nicole Williams, FNP-C

  • Family Nurse Practitioner
  • Palo Alto, CA
  • NPI 1700444056

  Single Specialty, TN

  Medicare reassignment Care Compare group NPD
• Bethany Buisson, PA-C

  • Physician Assistant
  • Germantown, TN
  • NPI 1861845356
  Medicare reassignment Care Compare group
• Elizabeth Ambros Suarez, PA-C

  • Physician Assistant
  • Memphis, TN
  • NPI 1154912251
  Medicare reassignment Care Compare group
• Rebecca Leigh Goedecke, CPNP

  • Nurse Practitioner
  • Memphis, TN
  • NPI 1275884645
  Medicare reassignment NPD

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1174184709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 LENOX PARK DR STE 202",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381158200",
            "telephone_number": "901-922-5951",
            "fax_number": "901-922-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6063 MOUNT MORIAH ROAD EXT STE 4",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381152665",
            "telephone_number": "901-531-8800",
            "fax_number": "901-531-8801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 Vollintine Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381072826",
            "country_code": "US",
            "telephone_number": "901-683-0024",
            "fax_number": "901-683-0086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6625 Lenox Park Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381154397",
            "country_code": "US",
            "telephone_number": "901-683-0024",
            "fax_number": "901-683-0086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2922 Covington Pike",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381286007",
            "country_code": "US",
            "telephone_number": "901-683-0024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DARSALUD COMMUNITY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "BILLING AND CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "901-922-5951",
        "authorized_official_credential": "MAML, CPC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q051384",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afuller@darsalud.us",
            "affiliation": "Y",
            "endpointDescription": "E-Mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "E-Mail",
            "address_1": "6063 Mount Moriah Road Ext Ste 4",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381152665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LIFEDOC HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dina G Darby, NP
• Elizabeth Darby, PHARM D
• Bryan W Darling, MD
• Andrew Darosa, PHARMD
• Darrel L Wilson P.C.
• Darsalud Community Center Inc (Lifedoc Pharmacy)
• Pranab Das, MD
• Shibendra Das
• Lakshmi K Dasaree, MD
• Trivikram Dasu, PHD.

• General Practice Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.