Organization Active NPI

Saint Francis Physician Network, LLC

  • Family Medicine Physician
  • Covington, TN
National Provider Identifier
1295258002
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SAINT FRANCIS PHYSICIAN NETWORK, LLC
Practice address
4501 Mueller Brass Rd
Covington, TN 38019-3749
Phone
(901) 872-3114
Fax
(901) 313-8040
NPI assigned
Jul 24, 2017
Last updated
Jan 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Brian Rasmus
Title
VP, Cfo TPR
Phone
(469) 893-6382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

4501 Mueller Brass Rd
Covington, TN 38019-3749

Mailing address

PO Box 22403
Belfast, ME 04915-4476
Phone (855) 270-2514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180108001271 MS Part B Supplier - Clinic/Group Practice 2365701943 Receives reassigned benefits from 4 practitioners
Practice locations: Corinth, MS; Holly Springs, MS; Senatobia, MS
O20180129001351 TN Part B Supplier - Clinic/Group Practice 2365701943 Receives reassigned benefits from 101 practitioners

National Provider Directory

National Provider Directory

Locations

491A Craft St
Holly Springs, MS 38635
Phone (662) 252-6416

2996 Kate Bond Rd
Ste 305
Bartlett, TN 38133
Phone (901) 300-2971

7845 US Highway 64
Ste 100
Bartlett, TN 38133
Phone (901) 625-4778

1022 N Germantown Pkwy
Cordova, TN 38018
Phone (901) 254-8500

4501 Mueller Brass Rd
Covington, TN 38019
Phone (901) 476-7779

1717 Kirby Pkwy
Ofc Cir
Memphis, TN 38120
Phone (901) 236-0508

1717 Kirby Pkwy
Ste 100
Memphis, TN 38120
Phone (901) 272-7200

4562 Poplar Ave
Ste 109
Memphis, TN 38117
Phone (901) 329-8990

5142 Stage Rd
Ste 100
Memphis, TN 38134
Phone (901) 382-2040

5959 Park Ave
Fl 12
Memphis, TN 38119
Phone (901) 765-1245

6005 Park Ave
Ste 300B
Memphis, TN 38119

6005 Park Ave
Ste 430B
Memphis, TN 38119
Phone (901) 585-0396

6005 Park Ave
Ste 508
Memphis, TN 38119
Phone (901) 682-2469

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

6005 Park Ave
Ste 821B
Memphis, TN 38119
Phone (901) 683-7319

6005 Park Ave
Ste 828B
Memphis, TN 38119
Phone (901) 254-8180

6027 Walnut Grove Rd
Ste 409
Memphis, TN 38120
Phone (901) 683-4421

8507 US Highway 51 N
Ste 107
Millington, TN 38053
Phone (901) 873-2555

8510 Wilkinsville Rd
Ste 104
Millington, TN 38053
Phone (901) 872-3114

Practitioners & affiliated clinicians

Practitioners 171

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 171

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1295258002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22403",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154476",
            "telephone_number": "855-270-2514",
            "fax_number": "708-342-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MUELLER BRASS RD",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380193749",
            "telephone_number": "901-872-3114",
            "fax_number": "901-313-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT FRANCIS PHYSICIAN NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "RASMUS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VP, CFO TPR",
        "authorized_official_telephone_number": "469-893-6382"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.