Tri-State Medical Management

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

210506056 Issued in TN

Legal business name

TRI-STATE MEDICAL MANAGEMENT

Practice address

2832 Coleman Rd
Memphis, TN 38128-5815

Phone

(901) 857-1150

NPI assigned

Nov 12, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly Dianne Cassriel

Title

President

Phone

(901) 857-1150

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1235502204",
    "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": "901-857-1150"
        },
        {
            "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": "901-857-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "CASSRIEL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-857-1150",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": "115004107",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TN",
            "license": "210506056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• May Trezevant, PHARMD
• Tri State Community Health Center
• Tri State Community Health Center (Tri State Community Health Center Pharmacy)
• Tri-Med Pharmacy LLC (Orion Rx - Memphis)
• Tri-State Gastroenterology, P.C.
• Tri-State Neurology PLLC
• Tri-State Orthopaedics, LLC
• Jada Anne Tribble, PA
• Trichocare Clinic
• Catalina Trieu, DO

• 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 Nov 12, 2015; 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.