Individual provider Active NPI

Collins W Rainey, MD

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1316265820
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
48790 Issued in TN
Practice address
6019 Walnut Grove Rd
Memphis, TN 38120
Phone
(901) 226-3610
Fax
(901) 226-3612
NPI assigned
May 7, 2010
Last updated
Nov 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 48790 TN Primary

Addresses

Primary practice location

6019 Walnut Grove Rd
Memphis, TN 38120

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Other practice location 1

1520 Union Ave
Memphis, TN 38174-0275
Phone (901) 276-2410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130830000507 TN Practitioner - Family Practice 4385880103 Reassigns benefits to 2 organizations
I20251215000201 MS Practitioner - Family Practice 4385880103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000

6401 Poplar Ave
Suite 610
Memphis, TN 38119-4806
Phone (901) 761-1280

7736 Airways Blvd
Southaven, MS 38671-5306
Phone (662) 772-5222

8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 725-8606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince Aug 1, 2017 Accepting new patients
Baptist Memorial Medical Group Inc Family Medicine CurrentSince Jun 1, 2016 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jun 1, 2016 Accepting new patients
Family Physicians Group PC Family Medicine Past Accepting new patients
Baptist Memorial Hospital Past Accepting new patients

Locations

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

7736 Airways Blvd
Southaven, MS 38671
Phone (662) 772-3700

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

1500 W Poplar Ave
Ste 202
Collierville, TN 38017
Phone (901) 861-5111

790 W Poplar Ave
Ste 1
Collierville, TN 38017
Phone (901) 853-9700

6685 Poplar Ave
Ste 120
Germantown, TN 38138
Phone (901) 685-8245

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

6025 Walnut Grove Rd
Ste 627
Memphis, TN 38120
Phone (901) 763-1695

6305 Humphreys Blvd
Ste 101
Memphis, TN 38120
Phone (901) 227-8930

7205 Wolf River Blvd
Ste 100
Memphis, TN 38138
Phone (901) 507-9466

7715 Wolf River Blvd
Memphis, TN 38138
Phone (901) 328-6031

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

8040 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 726-0200

8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1316265820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 WALNUT GROVE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38120",
            "telephone_number": "901-226-3610",
            "fax_number": "901-226-3612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381740275",
            "country_code": "US",
            "telephone_number": "901-276-2410",
            "fax_number": "901-261-6010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAINEY",
        "first_name": "COLLINS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-07",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "48790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.