Marcus D Norwood Sr., PHD

Primary specialty

Religious Nonmedical PractitionerTaxonomy code 374K00000X

License

104185 Issued in TN

Practice address

6119 Hamlet Rd
Millington, TN 38053-7458

Phone

(901) 825-9814

NPI assigned

Oct 5, 2022

Last updated

Oct 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1396460028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12145 WHISPERING PINES DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386545987",
            "telephone_number": "901-825-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6119 HAMLET RD",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380537458",
            "telephone_number": "901-825-9814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4579 Spring Glen Dr",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381281159",
            "country_code": "US",
            "telephone_number": "901-825-9814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORWOOD",
        "first_name": "MARCUS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": "TN",
            "license": "104185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHD",
            "identifier": "104185",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.norwoodhp.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ALL",
            "address_1": "4579 Spring Glen Dr",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381281159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Religious Nonmedical Practitioner in Millington, TN
• Providers in Millington, TN by specialty
• Religious Nonmedical Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.