Mid-South Geriatrics & Palliative Care PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MID-SOUTH GERIATRICS & PALLIATIVE CARE PLLC

Practice address

6027 Walnut Grove Rd Ste 317
Memphis, TN 38120-2128

Phone

(901) 818-3921

NPI assigned

Nov 1, 2018

Last updated

Nov 1, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nidal Rahal, MDNPI 1235106154

Title

Owner/Doctor

Phone

(901) 606-3205

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Nidal Rahal, M.D.

  • Family Medicine Physician
  • Germantown, TN
  • NPI 1235106154
  NPD Authorized official
• Randy Joseph Villanueva, MD

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1083666234
  NPD (past)

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1376010850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7826 RADFORD RIDGE RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381388233",
            "telephone_number": "901-606-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6027 WALNUT GROVE RD STE 317",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202128",
            "telephone_number": "901-818-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH GERIATRICS & PALLIATIVE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "RAHAL",
        "authorized_official_first_name": "NIDAL",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "901-606-3205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid-South Cardiovascular Center, LLC
• Mid-South Education and Behavior Solutions, LLC
• Mid-South Foot and Ankle Specialists, PLLC
• Mid-South Foot and Ankle Specialists, PLLC
• Mid-South Gastroenterology Group, Inc.
• Mid-South Health Services, LLC (Ashton Place Health & Rehab Center)
• Mid-South Healthnet
• Mid-South Home Health Services, LLC (BrightStar Care of Memphis)
• Mid-South Home Health, LLC (Acti-Kare Responsive In-Home Care)
• Mid-South Infectious Disease Associates, PLLC

• Primary Care Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.