Peabody Internal Medicine, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

30578 Issued in TN

Legal business name

PEABODY INTERNAL MEDICINE, INC.

Practice address

8081 Hwy . 51 North
Millington, TN 38053

Phone

(901) 873-4194

Fax

(901) 872-6553

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Abdullah Baig, M.D.NPI 1538126784

Title

President

Phone

(901) 873-4194

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 3

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

• Abdullah Baig, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Millington, TN
  • NPI 1538126784

  Specialist

  Medicare reassignment NPD Authorized official
• Sharon Moore, FNP

  • Family Nurse Practitioner
  • Millington, TN
  • NPI 1255396859
  Medicare reassignment NPD
• Geraldine Webber McCoy, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Millington, TN
  • NPI 1851122428
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285723403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 HWY . 51 NORTH",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "38053",
            "telephone_number": "901-873-4194",
            "fax_number": "901-872-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 HWY . 51 NORTH",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "38053",
            "telephone_number": "901-873-4194",
            "fax_number": "901-872-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEABODY INTERNAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAIG",
        "authorized_official_first_name": "ABDULLAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-873-4194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "30578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3705275",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Oglesby, PTA
• Amelia Ross Olson, PA-C
• Shkendie Papraniku, DNP, APRN, FNP-C
• Ashlei Parker, NP
• Shivani Patel, PT, DPT
• Pediatric Learning Center, Inc.
• People First Urgent Care PC
• Alicia Perry I
• Physiotherapy Associates Inc
• Irfan Pradhan, NP

• Specialist in Millington, TN
• Providers in Millington, TN by specialty
• Specialist 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.
• 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.