Organization Active NPI

Jerome S. Siegel, M.D. P.C.

  • Cardiovascular Disease Physician
  • Memphis, TN
National Provider Identifier
1386790491
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD4189 Issued in TN
Legal business name
JEROME S. SIEGEL, M.D. P.C.
Practice address
6025 Walnut Grove Rd
Suite 607
Memphis, TN 38120-2131
Phone
(901) 683-2161
Fax
(901) 681-0768
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Jerome S Siegel, MD
Title
President
Phone
(901) 683-2161

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RA0000X MD26874 TN
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X MD4189 TN Primary

Addresses

Primary practice location

6025 Walnut Grove Rd
Suite 607
Memphis, TN 38120-2131

Mailing address

6025 Walnut Grove Rd
Suite 607
Memphis, TN 38120-2131
Phone (901) 683-2161

National Provider Directory

National Provider Directory

Locations

6025 Walnut Grove Rd
Ste 607
Memphis, TN 38120
Phone (901) 683-2161

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1386790491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 WALNUT GROVE RD",
            "address_2": "SUITE 607",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202131",
            "telephone_number": "901-683-2161",
            "fax_number": "901-681-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 WALNUT GROVE RD",
            "address_2": "SUITE 607",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202131",
            "telephone_number": "901-683-2161",
            "fax_number": "901-681-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME S. SIEGEL, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-683-2161",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "TN",
            "license": "MD26874",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "MD4189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.