Kenneth E Embry III, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

24112 Issued in TN

Practice address

3091 Kirby Whitten Pkwy
Bartlett, TN 38134

Phone

(901) 752-6963

Fax

(901) 759-4704

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Physicians Group PC

  dba The Family Physicians Group

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1457344145
  NPD (past)
• Urgent Care Enterprise LLC

  • Urgent Care Clinic/Center
  • Antioch, TN
  • NPI 1477087658
  NPD (past)
• Interventional Pain Specialists of Bowling Green PLC

  dba Interventional Pain Specialists

  • Pain Medicine (Anesthesiology) Physician
  • Bowling Green, KY
  • NPI 1871952630
  NPD (past)
• Ken Embry M.D.

  • Primary Care Clinic/Center
  • Bowling Green, KY
  • NPI 1669626701
  NPD (past)
• Magna Chiro Med, LLC

  • Chiropractor
  • Bowling Green, KY
  • NPI 1821143009
  NPD (past)
• Magna Chiropractic Spine Center of Bowling Green

  • Chiropractor
  • Bowling Green, KY
  • NPI 1780063800
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1245328624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2859 VAN LEER DRIVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38133",
            "telephone_number": "901-751-5513",
            "fax_number": "901-751-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3091 KIRBY WHITTEN PKWY",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "38134",
            "telephone_number": "901-752-6963",
            "fax_number": "901-759-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBRY",
        "first_name": "KENNETH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "KY",
            "license": "17296",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "24112",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "17296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Centers of America, LLC
• Elite Mobile Wound Care
• Shelby Elliott, RBT
• Olivia Michelle Ellis, RDH
• Britney Elzey, PHD, M.DIV, ICF
• Nichole Ashton Ervin, PT
• Elizabeth Laudelina Eshun
• Charity R Eskew, RN, FNP-C
• Barbara P Evangelisti, NP-C
• Excel Centers of America, LLC

• General Practice Physician in Bartlett, TN
• Providers in Bartlett, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.