Individual provider Active NPI

John H Powell, N.P.

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1194725432
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7041 Issued in TN
Practice address
80 Humphreys Center Dr Ste 330
Ste 300
Memphis, TN 38120-2363
Phone
(901) 752-6131
Fax
(901) 752-6167
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A001321 AR
Family Nurse Practitioner 363LF0000X 810081 MS
Family Nurse Practitioner 363LF0000X 7041 TN Primary

Addresses

Primary practice location

80 Humphreys Center Dr Ste 330
Ste 300
Memphis, TN 38120-2363

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Other practice location 1

2100 N 7th St
West Memphis, AR 72301-2017
Phone (901) 752-6131

Other practice location 2

391 Southcrest Cir Ste 101
Southaven, MS 38671-4848
Phone (662) 349-0755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR, MS3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040420000886 TN Practitioner - Nurse Practitioner 8921093675 Reassigns benefits to 2 organizations
I20040628000038 AR Practitioner - Nurse Practitioner 8921093675 Reassigns benefits to 2 organizations
I20040713000222 MS Practitioner - Nurse Practitioner 8921093675 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Memorial Hospital-TiptonGroup PAC ID 6709878614, 29 clinicians
Baptist Memorial Hospital Union County, Inc.Group PAC ID 4183601305, 41 clinicians
Baptist Memorial Medical Group, Inc.Group PAC ID 5193610228, 581 clinicians
Baptist Memorial Hospital - Crittenden IncGroup PAC ID 8628312642, 3 clinicians

Practice addresses (Care Compare)

1700 Woodlawn Ave
Dyersburg, TN 38024-2028
Phone (731) 259-6289

200 Hwy 30 W
New Albany, MS 38652-3112
Phone (601) 534-7631

2100 N 7TH St
West Memphis, AR 72301-2017
Phone (901) 226-3610

36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-1000

4802 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (901) 227-9820

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-3882

Hospital & facility affiliations

  • Baptist Memorial Hospital-Crittenden, Inc Hospital, West Memphis, AR, CCN 040156
  • Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Baptist Memorial Hospital Union County Hospital, New Albany, MS, CCN 250006
  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Merit-based Incentive Payment System (MIPS)

Final score
81.74 of 100Reported as group
Quality
68.68
Promoting interoperability
100
Improvement activities
40
Cost
59.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7041TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Hospital-Desoto, Inc, CurrentSince Oct 1, 2019 Accepting new patients
Baptist Memorial Hospital Union County, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Baptist Memorial Hospital - Crittenden Inc CurrentSince May 30, 2024 Accepting new patients
Baptist Memorial Hospital-Tipton CurrentSince Dec 23, 2018 Accepting new patients
Baptist Memorial Hospital-Desoto, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Baptist Memorial Hospital-Tipton CurrentSince Dec 23, 2018 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Dec 1, 2017 Accepting new patients
Baptist Memorial Hospital North Mississippi, Inc CurrentSince Apr 1, 2017 Accepting new patients
Baptist Memorial Medical Group Inc Nurse Practitioner CurrentSince Dec 1, 2017 Accepting new patients
Baptist Memorial Hospital North Mississippi, Inc CurrentSince Apr 1, 2017 Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Past Accepting new patients
Mid-South Cancer Center Past Accepting new patients
Memphis Lung Physicians, P.C. Past Accepting new patients

Locations (25 of 30)

1522 N Division St
Blytheville, AR 72315
Phone (870) 630-1700

904 Holiday Dr
Ste 400
Forrest City, AR 72335
Phone (870) 630-1700

4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820

2100 N 7th St
West Memphis, AR 72301
Phone (870) 394-7800

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

1300 Sunset Dr
Ste Q
Grenada, MS 38901
Phone (662) 294-9101

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

504 Azalea Dr
Ste A
Oxford, MS 38655
Phone (662) 236-7738

1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000

7900 Airways Blvd
Bldg B100
Southaven, MS 38671
Phone (662) 349-2442

391 Southcrest Cir
Ste 101
Southaven, MS 38671
Phone (662) 349-0356

7900 Airways Blvd
Bldg B
Southaven, MS 38671
Phone (662) 349-2442

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

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

2996 Kate Bond Rd
Ste 100
Bartlett, TN 38133
Phone (901) 383-5570

2996 Kate Bond Rd
Ste 207
Bartlett, TN 38133
Phone (901) 379-0532

1500 W Poplar Ave
Ste 308
Collierville, TN 38017
Phone (901) 861-8550

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

1995 Highway 51 S
Ste 204
Covington, TN 38019
Phone (901) 475-5305

440 Wilkinson Dr
Dyersburg, TN 38024
Phone (731) 285-2211

1700 Woodlawn Ave
Dyersburg, TN 38024
Phone (731) 286-1115

6029 Walnut Grove Rd
Ste 305
Memphis, TN 38120
Phone (901) 226-0533

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

6025 Walnut Grove Rd
Ste 508
Memphis, TN 38120
Phone (901) 767-5864

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

Organizations & group practices 13

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.

View all 13

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1194725432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUMPHREYS CENTER DR STE 330",
            "address_2": "STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202363",
            "telephone_number": "901-752-6131",
            "fax_number": "901-752-6167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 N 7th St",
            "address_purpose": "LOCATION",
            "city": "West Memphis",
            "state": "AR",
            "postal_code": "723012017",
            "country_code": "US",
            "telephone_number": "901-752-6131",
            "fax_number": "901-722-0570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "391 Southcrest Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386714848",
            "country_code": "US",
            "telephone_number": "662-349-0755",
            "fax_number": "662-349-0356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JOHN",
        "middle_name": "H",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A001321",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "810081",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "7041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.