Individual provider Active NPI

Felesha Perry, FNP-C

  • Family Nurse Practitioner
  • Collierville, TN
National Provider Identifier
1306262993
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18325 Issued in TN
Practice address
490 W Poplar Ave
Collierville, TN 38017-2538
Phone
(901) 488-0089
NPI assigned
Mar 6, 2014
Last updated
Feb 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18325 TN Primary

Addresses

Primary practice location

490 W Poplar Ave
Collierville, TN 38017-2538

Mailing address

490 W Poplar Ave
Collierville, TN 38017-2538
Phone (901) 488-0089

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141001002087 TN Practitioner - Nurse Practitioner 7517187263 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH MSSP Services TN PLLCGroup PAC ID 0042603656, 48 clinicians
Adult and Adolescent Medicine Clinics PLLCGroup PAC ID 2163597378, 7 clinicians
Curana Health of Tennessee LLCGroup PAC ID 7416261482, 56 clinicians

Practice addresses (Care Compare)

Memphis, TN 38103
Phone (337) 991-9276

3021 Brunswick Rd
RM 1105
Bartlett, TN 38133-4198
Phone (901) 726-3979

5865 Ridgeway Ctr Pkwy
Memphis, TN 38120-4032
Phone (337) 991-9276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kejac Ventures LLC CurrentSince Apr 15, 2024 Accepting new patients
Adult Primary Care of Memphis PC CurrentSince Aug 15, 2023 Accepting new patients
Adult and Adolescent Medicine Clinics PLLC CurrentSince Mar 31, 2026 Accepting new patients
SHC Medical Partners of Tennessee, LLC CurrentSince Sep 18, 2017 Accepting new patients

Locations

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

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

1282 Union Ave
Memphis, TN 38104
Phone (662) 822-7454

141 N McLean Blvd
Memphis, TN 38104
Phone (901) 276-2021

415 Cole Dr
Pigeon Forge, TN 37863
Phone (865) 428-5454

Organizations & group practices 7

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": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1306262993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 W POPLAR AVE",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172538",
            "telephone_number": "901-488-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 W POPLAR AVE",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172538",
            "telephone_number": "901-488-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "FELESHA",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

Verify at the official NPI Registry.