Individual provider Active NPI

Amelia Margaret Murray, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1174288427
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30632 Issued in TN
Practice address
6029 Walnut Grove Rd # 209
Memphis, TN 38120-2112
Phone
(901) 681-0778
NPI assigned
Nov 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 30632 TN Primary

Addresses

Primary practice location

6029 Walnut Grove Rd # 209
Memphis, TN 38120-2112

Mailing address

6029 Walnut Grove Rd Ste 209
Memphis, TN 38120-2112
Phone (901) 681-0778

Other identifiers 2

IdentifierTypeStateIssuer
Q070831MedicaidTN
002025025MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211206001544 TN Practitioner - Nurse Practitioner 7911397971 Reassigns benefits to 1 organization
I20220127000487 MS Practitioner - Nurse Practitioner 7911397971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Infectious Disease Associates, PLLCGroup PAC ID 0547252124, 12 clinicians

Practice addresses (Care Compare)

6029 Walnut Grove Rd
Suite 209
Memphis, TN 38120-2112
Phone (901) 681-0778

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 349-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90.59
Promoting interoperability
100
Improvement activities
40
Cost
81.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
30632TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Infectious Disease Associates, PLLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

401 Southcrest Cir
Ste 201
Southaven, MS 38671
Phone (662) 772-4000

6029 Walnut Grove Rd
Ste 209
Memphis, TN 38120
Phone (901) 681-0778

Interoperability endpoints

  • Direct secure messaging: amurray481934@direct.bmhcc.org
  • Direct secure messaging: amurray22543@mlh.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1174288427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6029 WALNUT GROVE RD STE 209",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202112",
            "telephone_number": "901-681-0778",
            "fax_number": "901-821-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 WALNUT GROVE RD # 209",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202112",
            "telephone_number": "901-681-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "AMELIA",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q070831",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002025025",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.