Organization Active NPI

Women's Care Center of Memphis 2, LLC

  • Specialist
  • Memphis, TN
National Provider Identifier
1295296762
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WOMEN'S CARE CENTER OF MEMPHIS 2, LLC
Practice address
6215 Humphreys Blvd Ste 500
Memphis, TN 38120-2384
Phone
(901) 682-0630
Fax
(901) 682-0635
NPI assigned
Mar 27, 2019
Last updated
Mar 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Authorized official

Name
Shelley Depp
Title
Payer Relations Liaison
Phone
(770) 579-2626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

6215 Humphreys Blvd Ste 500
Memphis, TN 38120-2384

Mailing address

PO Box 468329
Atlanta, GA 31146-8329
Phone (404) 943-0205

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1295296762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468329",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311468329",
            "telephone_number": "404-943-0205",
            "fax_number": "404-943-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 HUMPHREYS BLVD STE 500",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202384",
            "telephone_number": "901-682-0630",
            "fax_number": "901-682-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S CARE CENTER OF MEMPHIS 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "DEPP",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "PAYER RELATIONS LIAISON",
        "authorized_official_telephone_number": "770-579-2626"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.