E Michael Agapos, MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

26642 Issued in TN

Legal business name

E MICHAEL AGAPOS, MD, PC

Practice address

3960 New Covington Pike
Memphis, TN 38128-2504

Phone

(901) 761-4131

Fax

(901) 761-4145

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Emmanuel Michael Agapos, M.D.NPI 1245298132

Title

Physician

Phone

(901) 757-2345

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emmanuel Michael Agapos, MD

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1245298132
  Medicare reassignment NPD Authorized official
• Tina G Johnson, FNP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1376835488
  NPD (past)
• Clyde R. Smith, M.D.

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1881676526

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1245275163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381010231",
            "telephone_number": "901-757-2345",
            "fax_number": "901-757-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 NEW COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282504",
            "telephone_number": "901-761-4131",
            "fax_number": "901-761-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E MICHAEL AGAPOS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "AGAPOS",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "901-757-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "26642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q013104",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROV ID",
            "identifier": "4069219",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123392",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.