Baptist Memorial Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BAPTIST MEMORIAL MEDICAL GROUP INC

Practice address

8970 Winchester Rd
Memphis, TN 38125-8231

Phone

(901) 227-4068

NPI assigned

Apr 8, 2009

Last updated

Oct 8, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

BAPTIST MEMORIAL HEALTH CARE CORP.As reported in NPPES

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

Authorized official

Name

Gregory M Duckett

Title

Sr VP/Clo

Phone

(901) 227-5233

Specialties & licenses 15

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, MS, AR3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Baptist Memorial Medical Group Inc

  dba BMG Wolf River Pharmacy

  • Community/Retail Pharmacy
  • Germantown, TN
  • NPI 1174087324

  5193610228

  Same PAC ID
• Baptist Memorial Medical Group Inc

  dba BMG West Massey Pharmacy

  • Community/Retail Pharmacy
  • Memphis, TN
  • NPI 1184481814

  5193610228

  Same PAC ID
• Baptist Memorial Medical Group Inc

  dba BMG East Memphis Pharmacy

  • Community/Retail Pharmacy
  • Memphis, TN
  • NPI 1841006129

  5193610228

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Baptist Memorial Health Care Corp

Locations (25 of 53)

Practitioners 867

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.

• Ahmad Bashar Abdulkarim, MD, PHD

  • Surgery Physician
  • Memphis, TN
  • NPI 1386741676
  Medicare reassignment Care Compare group NPD
• Santiago Javier Aguilar Duenas, MD

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1285897553

  AR, MS

  Medicare reassignment Care Compare group NPD
• Leah Ifeoluwa Akinseye, M.D.

  • Pediatric Endocrinology Physician
  • Memphis, TN
  • NPI 1952781064

  MS

  Medicare reassignment Care Compare group NPD
• Abdullah Al-Rashdan, M.D.

  • Gastroenterology Physician
  • Memphis, TN
  • NPI 1588831721
  Medicare reassignment Care Compare group NPD
• Robert Alejo Armada, D.O.

  • Obstetrics & Gynecology Physician
  • Union City, TN
  • NPI 1831274992
  Medicare reassignment Care Compare group NPD
• Monam Bashir Awan, M.D.

  • Family Medicine Physician
  • Centerville, TN
  • NPI 1013103449

  AR, MS

  Medicare reassignment Care Compare group NPD
• Kelly Marie Badura, PA

  • Physician Assistant
  • Memphis, TN
  • NPI 1730226804
  Medicare reassignment Care Compare group NPD
• Arika Denise Bailey, NP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1386002228
  Medicare reassignment Care Compare group NPD
• Anita Lynn Baker-Ross, APN, CNM

  • Advanced Practice Midwife
  • Union City, TN
  • NPI 1265435671
  Medicare reassignment Care Compare group NPD
• Joseph D Baker II, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • Collierville, TN
  • NPI 1154436327

  MS

  Medicare reassignment Care Compare group NPD
• Gala Markia Barden, M.D.

  • Surgery Physician
  • Memphis, TN
  • NPI 1578874749

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Nadja Barros Barrantes, NP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1679279210
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1306089206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8970 WINCHESTER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258231",
            "telephone_number": "901-227-4068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Baptist Memorial Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386554476",
            "country_code": "US",
            "telephone_number": "662-244-2288",
            "fax_number": "662-636-2285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Baptist Memorial Cir Ste 120",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386554476",
            "country_code": "US",
            "telephone_number": "662-244-2288",
            "fax_number": "662-636-2285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Baptist Memorial Cir Ste 202",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386554476",
            "country_code": "US",
            "telephone_number": "662-636-2451",
            "fax_number": "662-636-2290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Baptist Memorial Cir Ste 204",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386554476",
            "country_code": "US",
            "telephone_number": "662-636-4333",
            "fax_number": "662-636-1704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Doctors Park",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397592570",
            "country_code": "US",
            "telephone_number": "662-323-1181",
            "fax_number": "662-323-5951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Brandon Rd",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397592521",
            "country_code": "US",
            "telephone_number": "662-240-1412",
            "fax_number": "662-240-1949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Brandon Rd",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397592521",
            "country_code": "US",
            "telephone_number": "662-240-1412",
            "fax_number": "662-240-1949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1109 E Reelfoot Ave Ste F",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "TN",
            "postal_code": "382615867",
            "country_code": "US",
            "telephone_number": "731-884-1412",
            "fax_number": "731-884-1720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381046646",
            "country_code": "US",
            "telephone_number": "901-529-4045",
            "fax_number": "901-526-4096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1205 Russell St",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "TN",
            "postal_code": "382615352",
            "country_code": "US",
            "telephone_number": "731-884-0002",
            "fax_number": "731-884-1555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Sunset Dr Ste Q",
            "address_purpose": "LOCATION",
            "city": "Grenada",
            "state": "MS",
            "postal_code": "389014084",
            "country_code": "US",
            "telephone_number": "662-294-9101",
            "fax_number": "662-294-9104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1312 Bishop St",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "TN",
            "postal_code": "382615406",
            "country_code": "US",
            "telephone_number": "731-885-5100",
            "fax_number": "731-885-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1412 E Reelfoot Ave",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "TN",
            "postal_code": "382615813",
            "country_code": "US",
            "telephone_number": "731-885-5131",
            "fax_number": "731-885-5335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 W Poplar Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380170601",
            "country_code": "US",
            "telephone_number": "901-861-8484",
            "fax_number": "601-861-8489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 W Poplar Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380170601",
            "country_code": "US",
            "telephone_number": "901-861-9090",
            "fax_number": "901-861-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 W Poplar Ave Ste 308",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380170601",
            "country_code": "US",
            "telephone_number": "901-861-8550",
            "fax_number": "901-861-8555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 W Poplar Ave",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380170601",
            "country_code": "US",
            "telephone_number": "901-226-2800",
            "fax_number": "901-226-2802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381740275",
            "country_code": "US",
            "telephone_number": "901-757-3439",
            "fax_number": "901-757-3496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1522 N Division St",
            "address_purpose": "LOCATION",
            "city": "Blytheville",
            "state": "AR",
            "postal_code": "723151448",
            "country_code": "US",
            "telephone_number": "870-762-1660",
            "fax_number": "870-762-1704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Woodlawn Ave",
            "address_purpose": "LOCATION",
            "city": "Dyersburg",
            "state": "TN",
            "postal_code": "380242028",
            "country_code": "US",
            "telephone_number": "731-259-6289",
            "fax_number": "731-287-9493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1995 Highway 51 S Ste 203",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "TN",
            "postal_code": "380193655",
            "country_code": "US",
            "telephone_number": "901-475-5480",
            "fax_number": "901-475-5493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1995 Highway 51 S Ste 204",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "TN",
            "postal_code": "380193655",
            "country_code": "US",
            "telephone_number": "901-475-5305",
            "fax_number": "901-475-5307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAPTIST MEMORIAL MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST MEMORIAL HEALTH CARE CORP.",
        "enumeration_date": "2009-04-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR VP/CLO",
        "authorized_official_telephone_number": "901-227-5233"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baptist Memorial Hospital
• Baptist Memorial Hospital (Baptist Gastrointestinal Specialists Surgery Center)
• Baptist Memorial Hospital (Baptist Trinity Home Health and Hospice)
• Baptist Memorial Hospital-Tipton (Walnut Grove Plaza Pharmacy #2)
• Baptist Memorial Medical Group Inc (BMG West Massey Pharmacy)
• Baptist Memorial Medical Group Inc (BMG East Memphis Pharmacy)
• Baptist Memorial Regional Rehabilitation Services Inc
• Baptist Memorial Regional Rehabilitative Services Inc
• Baptist Minor Medical Centers Inc (Baptist Minor Medical Center)
• Baptist-Emsc LP (East Memphis Surgery Center)

• Internal Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.