Active NPI
Christopher Anthony Witherspoon, MD
- Sports Medicine (Family Medicine) Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 62514
- Practice address
- 6305 Humphreys Blvd Ste 101
Memphis, TN 38120-2372 - Phone
- (901) 227-8930
- Fax
- (901) 227-8936
- NPI assigned
- Jun 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K2828 | TX | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | K2828 | TX | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 62514 | TN | Primary |
Addresses
Primary practice location
6305 Humphreys Blvd Ste 101
Memphis, TN 38120-2372
Mailing address
965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Other practice location 1
6257 Fm 2642 Blvd Ste 100
Royse City, TX 75189-3224
Phone (469) 800-2180
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168601601 | Medicaid | TX | |
| 168601605 | Medicaid | TX | |
| 168601602 | Medicaid | TX |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.87 of 100
- Quality
- 64.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62514 | TN | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Les T. Sandknop, D.O. PA | Family Medicine | Current | Accepting new patients |
| Baptist Memorial Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Physician Associates of Southwest Dallas | Family Medicine | Past | Accepting new patients |
| Accent Family Health Care LLC | Family Medicine | Past | Accepting new patients |
| Baptist Memorial Health Services, Inc. of Mississippi | Past | Accepting new patients |
Locations
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606
6305 Humphreys Blvd
Ste 101
Memphis, TN 38120
Phone (901) 227-8930
2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350
6305 Humphreys Blvd
Ste 108
Memphis, TN 38120
Phone (901) 227-8930
965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281
4315 Ridgecrest Rd
Greenville, TX 75402
Phone (903) 450-4788
6785 Horizon Rd
Ste 100
Heath, TX 75032
Phone (972) 771-9000
1005 W Ralph Hall Pkwy
Ste 221
Rockwall, TX 75032
Phone (972) 771-9000
Interoperability endpoints
- cwitherspoon494356@direct.bmhcc.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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Family Medicine
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- Family Medicine Physician
- Heath, TX
- NPI 1427093087
-
- Multi-Specialty Clinic/Center
- Arlington, TX
- NPI 1538164017
Family Medicine
-
- Internal Medicine Physician
- New Albany, MS
- NPI 1104971696
-
- Family Medicine Physician
- Dallas, TX
- NPI 1801845425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1295730786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 315",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209401",
"fax_number": "901-227-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6305 HUMPHREYS BLVD STE 101",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202372",
"telephone_number": "901-227-8930",
"fax_number": "901-227-8936"
}
],
"practiceLocations": [
{
"address_1": "6257 Fm 2642 Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Royse City",
"state": "TX",
"postal_code": "751893224",
"country_code": "US",
"telephone_number": "469-800-2180",
"fax_number": "469-800-2190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WITHERSPOON",
"first_name": "CHRISTOPHER",
"middle_name": "ANTHONY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K2828",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "TX",
"license": "K2828",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "TN",
"license": "62514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "168601601",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "168601605",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "168601602",
"state": "TX"
}
],
"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 Dec 6, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.