Injury Medical Center of Memphis

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

INJURY MEDICAL CENTER OF MEMPHIS

Practice address

2832 Coleman Rd
Memphis, TN 38128-5815

Phone

(901) 377-2334

Fax

(901) 377-0912

NPI assigned

Jan 8, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Kelly Dianne Sellers

Title

President/ Owner

Phone

(901) 377-2334

Specialties & licenses 1

Addresses

Other names 1

• 411-Pain Memphis, Inc. Former legal business name

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1194062307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2832 COLEMAN RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381285815",
            "telephone_number": "901-377-2334",
            "fax_number": "901-377-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2832 COLEMAN RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381285815",
            "telephone_number": "901-377-2334",
            "fax_number": "901-377-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY MEDICAL CENTER OF MEMPHIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "901-377-2334",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "411-Pain Memphis, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Charles C Ingram, MD
• Hannah Dawson Ingram, FNP-C
• Nina Ingram
• Shaun Ingram
• Sherry Lynn Ingram, PHARMD
• Joel S Inman, CRNA
• Nicholas Jordan Inman, MD
• Vladyslava Inman, DNP
• Innovative Behavior Services
• Innovative Counseling & Consulting

• Health Maintenance Organization in Memphis, TN
• Providers in Memphis, TN by specialty
• Health Maintenance Organization in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.