Nova Group of Memphis, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NOVA GROUP OF MEMPHIS, INC.

Practice address

6551 Stage Oaks Dr
Suite 4
Bartlett, TN 38134-3895

Phone

(901) 384-4774

Fax

(901) 384-4755

NPI assigned

May 12, 2006

Last updated

Aug 22, 2020By 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

Mr. Paul Michael Boston Sr.

Title

President

Phone

(901) 384-4775

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215988589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 STAGE OAKS DR",
            "address_2": "SUITE 4",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343895",
            "telephone_number": "901-384-4774",
            "fax_number": "901-384-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 STAGE OAKS DR",
            "address_2": "SUITE 4",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343895",
            "telephone_number": "901-384-4774",
            "fax_number": "901-384-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA GROUP OF MEMPHIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOSTON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-384-4775",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1636339",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00702212",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454942",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tri Minh Nguyen, MD
• Aubrey Noble, M.S.
• Sophia Noble, FNP-C
• Kimberly Norman Nolen, OT
• Colton Douglas Norton, MD
• Douglas Lawrence O'Dea, M.D.
• Rachael O'Dea, APN
• Erin L O'Hara, DPT
• Rachel O'Leary, PHARM.D.
• Rachael M Oiler, LPC-MHSP

• Durable Medical Equipment & Medical Supplies in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.