NPIMap

Organization Active NPI

Mid-South Urgent Care, PLLC

  • Family Medicine Physician
  • Bartlett, TN
National Provider Identifier
1326741844
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MID-SOUTH URGENT CARE, PLLC
Practice address
5905 Stage Rd
Bartlett, TN 38134-4521
Phone
(901) 779-8657
Fax
(901) 791-4208
NPI assigned
Mar 23, 2023
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Mohammed Bah, MDNPI 1215939269
Title
President
Phone
(901) 821-0338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5905 Stage Rd
Bartlett, TN 38134-4521

Mailing address

PO Box 5165
Memphis, TN 38101-5165
Phone (901) 779-8657

National Provider Directory

National Provider Directory

Locations

5905 Stage Rd
Bartlett, TN 38134
Phone (901) 779-8657

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8332/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1326741844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5165",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381015165",
            "telephone_number": "901-779-8657",
            "fax_number": "901-791-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 STAGE RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344521",
            "telephone_number": "901-779-8657",
            "fax_number": "901-791-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH URGENT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "BAH",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-821-0338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.