Mvag, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD0000025017 Issued in TN

Legal business name

MVAG, INC

Practice address

7485 Poplar Pike
Germantown, TN 38138-5934

Phone

(901) 752-4999

Fax

(901) 752-3761

NPI assigned

Nov 3, 2011

Last updated

Nov 3, 2011By 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

Gregory Nathan Laurence, M.D.NPI 1306085014

Title

Owner

Phone

(901) 752-4999

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.

• Gregory Nathan Laurence, MD

  • Family Medicine Physician
  • Germantown, TN
  • NPI 1306085014
  NPD (past) Authorized official
• Katherine Mary Gresham, PA-C

  • Physician Assistant
  • Gainesville, FL
  • NPI 1194844183
  NPD (past)

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1396022463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7485 POPLAR PIKE",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381385934",
            "telephone_number": "901-752-4999",
            "fax_number": "901-752-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7485 POPLAR PIKE",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381385934",
            "telephone_number": "901-752-4999",
            "fax_number": "901-752-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVAG, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "LAURENCE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-752-4999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000025017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garnett Andrew Murphy, M.D.
• Teresa Ann Murphy, P.T.
• Ashley White Murray, CRNA
• Glenn Paul Murray, D.O.
• Susan G Murrmann, M.D.
• Amy Youngblood Myers, PT
• Lisa M Myers, M.D.
• Sara Myers, NP-C
• William Myers, DPT
• Myeyedr Optometry of Tennessee, LLC (MyEyeDr.)

• Family Medicine Physician in Germantown, TN
• Providers in Germantown, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.