Individual provider Active NPI

Robert C. Stephenson

  • Emergency Medicine Physician
  • Paris, TN
National Provider Identifier
1295785004
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD09665 Issued in TN
Practice address
Henry County Medical Center Emergency Dept.
301 Tyson Ave.
Paris, TN 38242-1030
Phone
(731) 644-8445
Fax
(731) 644-8446
NPI assigned
May 11, 2006
Last updated
Mar 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD09665 TN Primary

Addresses

Primary practice location

Henry County Medical Center Emergency Dept.
301 Tyson Ave.
Paris, TN 38242-1030

Mailing address

605 Robert Station Rd.
Bells, TN 38006
Phone (731) 512-0494

Other identifiers 1

IdentifierTypeStateIssuer
3184893MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080604000243 TN Practitioner - Emergency Medicine 0941370829 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD09665TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carr PLLC Emergency Medicine CurrentSince Sep 1, 2015 Accepting new patients
T M Carr MD PC Emergency Medicine CurrentSince Aug 21, 2019 Accepting new patients
Tennessee Emergency Physicians, PLLC Emergency Medicine PastSince Feb 9, 2020 Accepting new patients

Locations

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1295785004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 ROBERT STATION RD.",
            "city": "BELLS",
            "state": "TN",
            "postal_code": "38006",
            "telephone_number": "731-512-0494",
            "fax_number": "731-512-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HENRY COUNTY MEDICAL CENTER EMERGENCY DEPT.",
            "address_2": "301 TYSON AVE.",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382421030",
            "telephone_number": "731-644-8445",
            "fax_number": "731-644-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "ROBERT",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD09665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3184893",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

Verify at the official NPI Registry.