Flotyl K. Gresham, MSN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000015939 Issued in TN

Practice address

8071 Winchester Rd
Memphis, TN 38125-8206

Phone

(901) 756-6056

Fax

(901) 624-0702

NPI assigned

Jul 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Enterprise LLC 70 clinicians

Methodist Healthcare Community Care Associates 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: flotyl.gresham@mcknightclinic.cernerdirect.com
• Direct secure messaging: fgresham26142@mlh.direct-ci.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/110cb3c6-b110-474f-9f37-1dc02438d0c6/
• FHIR API: https://api.platform.athenahealth.com/26256/brand/1/csg/1/fhir/r4

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.

• Methodist Healthcare Community Care Associates

  • Urgent Care Clinic/Center
  • Cordova, TN
  • NPI 1194839241

  TN

  Medicare reassignment Care Compare group NPD
• Urgent Care Enterprise LLC

  • Urgent Care Clinic/Center
  • Antioch, TN
  • NPI 1477087658

  TN

  Medicare reassignment Care Compare group NPD
• Methodist Healthcare Community Care Associates

  • Urgent Care Clinic/Center
  • Olive Branch, MS
  • NPI 1821272501

  MS

  Medicare reassignment Care Compare group NPD
• McKnight Clinic PLLC

  • Family Medicine Physician
  • Somerville, TN
  • NPI 1043482649

  TN

  Medicare reassignment NPD
• McKnight Clinic PLLC

  • Rural Health Clinic/Center
  • Somerville, TN
  • NPI 1851155303
  NPD
• Methodist Healthcare Community Care Associates

  • Urgent Care Clinic/Center
  • Memphis, TN
  • NPI 1326152455
  NPD
• Methodist Healthcare Community Care Associates

  • Corporate Health Clinic/Center
  • Memphis, TN
  • NPI 1699941195
  NPD
• Adult Primary Care of Memphis PC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1376738906
  NPD (past)
• Wilder Clinic

  • Family Medicine Physician
  • Sunerville, TN
  • NPI 1588675276
  NPD (past)

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1306133848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8071 WINCHESTER RD STE 3",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258206",
            "telephone_number": "901-756-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8071 WINCHESTER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258206",
            "telephone_number": "901-756-6056",
            "fax_number": "901-624-0702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Woodbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "TN",
            "postal_code": "380681242",
            "country_code": "US",
            "telephone_number": "901-465-6353",
            "fax_number": "833-902-3599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRESHAM",
        "first_name": "FLOTYL",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "A810422",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000015939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "flotyl.gresham.1@26256.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "McKnight Clinic PLLC",
            "address_1": "25 Woodbridge Rd",
            "city": "Somerville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380681242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lideaderick Lamar Gregory, PMHNP
• Patricia Jane Gregory
• Paul N. Gregory Jr., D.D.S., M.H.A.
• Stefanie Carol Gregory, P.T.
• Madeleine Amanda Gremillion, D.O.
• William Paul Gresham, PHARM D
• Bonnye Griffin-Taylor, CMSW
• Aerial S Griffin, DDS
• Angelica Griffin
• Annie M Griffin

• All providers in Memphis, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.

Verify at the official NPI Registry.