Gangagowri Saravanakumar, APRN, FNP B-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28171 Issued in TN

Practice address

9658 Woodland Run LN
Cordova, TN 38018-6612

Phone

(901) 604-8169

NPI assigned

Sep 14, 2020

Last updated

Sep 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gangagowri Lakshmanan Other name

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Consolidated Medical Practices of Memphis,PLLCGroup PAC ID 1759459845, 113 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
• Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gsaravanakumar26419@mlh.direct-ci.com
• Direct secure messaging: gsaravanakumar688417@direct.bmhcc.org
• FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD

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.

• Consolidated Medical Practices of Memphis,PLLC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1508027491
  Medicare reassignment Care Compare group NPD
• Methodist Healthcare Community Care Associates

  • Urgent Care Clinic/Center
  • Cordova, TN
  • NPI 1194839241
  Medicare reassignment NPD
• Methodist Healthcare Community Care Associates

  dba MHCCA Health Screening

  • Corporate Health Clinic/Center
  • Memphis, TN
  • NPI 1699941195
  NPD

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

• Baptist Memorial Hospital

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1578527172
  Care Compare affiliation
• Methodist Healthcare - Memphis Hospitals

  dba Le Bonheur Children's Hospital

  • Children's Hospital
  • Memphis, TN
  • NPI 1386709871
  Care Compare affiliation
• Methodist Healthcare - Memphis Hospitals

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1558365890
  Care Compare affiliation
• Methodist Healthcare - Memphis Hospitals

  dba Le Bonheur Children's Hospital - Germantown

  • Children's Hospital
  • Germantown, TN
  • NPI 1649654450
  Care Compare affiliation

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1396350542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9658 WOODLAND RUN LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186612",
            "telephone_number": "901-604-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9658 WOODLAND RUN LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186612",
            "telephone_number": "901-604-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARAVANAKUMAR",
        "first_name": "GANGAGOWRI",
        "credential": "APRN, FNP B-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cordova",
            "affiliation": "N",
            "address_1": "9658 Woodland Run Ln",
            "city": "Cordova",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380186612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cordova",
            "affiliation": "N",
            "address_1": "9658 Woodland Run Ln",
            "city": "Cordova",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380186612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cordova",
            "affiliation": "N",
            "address_1": "9658 Woodland Run Ln",
            "city": "Cordova",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380186612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GANGAGOWRI",
            "last_name": "LAKSHMANAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James D. Saino, M.D.
• Keosha Sales
• Sam J Cox III MD 2 LLC
• Navneet Sandhu
• Aimee Kristine Sandoval, PMHNP-BC
• Tierika Sayles
• SC Home Health Care (Erica Q Cooper)
• Julie Scarvey
• Leslie P. Schilling, R.D.
• Linsay Scholten

• Family Nurse Practitioner in Cordova, TN
• Providers in Cordova, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.