Active NPI
Christopher McClure
- Internal Medicine Physician
- Memphis, TN
National Provider Identifier
1396454229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- UTRESIDENT
- Practice address
- 920 Madison Avenue Suite 447
Memphis, TN 38163-1526 - Phone
- (901) 448-5364
- Fax
- (901) 448-6182
- NPI assigned
- Nov 18, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | UTRESIDENT | TN | Primary |
Addresses
Primary practice location
920 Madison Avenue Suite 447
Memphis, TN 38163-1526
Mailing address
26 Riverview Dr E Apt 301
Memphis, TN 38103-4736
Phone (404) 695-9363
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | N/A |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UTRESIDENT | TN | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685059200000",
"number": "1396454229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 RIVERVIEW DR E APT 301",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381034736",
"telephone_number": "404-695-9363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 MADISON AVENUE SUITE 447",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381631526",
"telephone_number": "901-448-5364",
"fax_number": "901-448-6182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLURE",
"first_name": "CHRISTOPHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-18",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "UTRESIDENT",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "390 Stovall St SE # 3101A",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303161526",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.