Active NPI
Stephen Lavon Gipson, MD
- Pain Medicine Physician
- Memphis, TN
National Provider Identifier
1205911518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 0000014982
- Practice address
- 6005 Park Ave
Suite 400
Memphis, TN 38119-5215 - Phone
- (901) 767-9500
- Fax
- (907) 767-7324
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD14982 | TN | |
| Pain Medicine Physician | 208VP0000X | 0000014982 | TN | Primary |
Addresses
Primary practice location
6005 Park Ave
Suite 400
Memphis, TN 38119-5215
Mailing address
6005 Park Ave
Suite 400
Memphis, TN 38119-5215
Phone (901) 767-9500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125345900 | Other | TN | US DEPT OF LABOR |
| 4226549 | Other | AETNA | |
| 40796 | Other | TN | BLUE CROSS OF TN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6005 Park Ave
Memphis, TN 38119-5214
Phone (901) 767-9500
Hospital & facility affiliations
- St Francis Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 26.65 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 88.83
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 77 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD14982 | TN | MD | Pain Medicine (Anesthesiology) Physician |
| 0000014982 | TN | MD | Pain Medicine Physician |
| 14982 | TN | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine Specality Center PLLC | Past | Accepting new patients |
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.
-
- Pain Medicine (Anesthesiology) Physician
- Memphis, TN
- NPI 1477754505
-
- Medical-Surgical Clinical Nurse Specialist
- Memphis, TN
- NPI 1710088463
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1952326977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484006400000",
"number": "1205911518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6005 PARK AVE",
"address_2": "SUITE 400",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195215",
"telephone_number": "901-767-9500",
"fax_number": "907-767-7324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6005 PARK AVE",
"address_2": "SUITE 400",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195215",
"telephone_number": "901-767-9500",
"fax_number": "907-767-7324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIPSON",
"first_name": "STEPHEN",
"middle_name": "LAVON",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2017-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TN",
"license": "MD14982",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TN",
"license": "0000014982",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "125345900",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4226549",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF TN",
"identifier": "40796",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.