Bethesda Health Services, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BETHESDA HEALTH SERVICES, LLC

Practice address

15 Stonebridge Blvd
Jackson, TN 38305-2042

Phone

(731) 664-7949

Fax

(731) 664-6141

NPI assigned

Jan 5, 2015

Last updated

May 22, 2023By 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

Mr. Stephen Collier, MDNPI 1316058340

Title

Owner

Phone

(731) 664-7949

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 12

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.

• Stephen Edward Collier, M.D.

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1316058340
  Medicare reassignment NPD Authorized official
• Penny Gateley Creekmore, FNP

  • Family Nurse Practitioner
  • Friendship, TN
  • NPI 1730419425
  Medicare reassignment NPD
• Brad F Creekmore, FNP

  • Nurse Practitioner
  • Dyersburg, TN
  • NPI 1487943676
  Medicare reassignment
• Robert Walter Hamm, M.D.

  • Psychiatry Physician
  • Paris, TN
  • NPI 1700067642
  NPD (past)
• Radwan R Khuri, MD

  • Psychiatry Physician
  • Memphis, TN
  • NPI 1578530036
  NPD (past)
• Renee Mathis, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Murfreesboro, TN
  • NPI 1952919102
  NPD (past)
• Laurie Alice Miller, APRN, BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
  • NPI 1063693893
  NPD (past)
• Sylvester Agorua Nwedo, MD

  • Psychiatry Physician
  • Jackson, TN
  • NPI 1184060113
  NPD (past)
• Jonathan David Shaw, MD

  • Child & Adolescent Psychiatry Physician
  • Memphis, TN
  • NPI 1669579116
  NPD (past)
• Toni Angela Williams, APRN, PMHNP, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, TN
  • NPI 1851781751
  NPD (past)
• Michael Lynn Hall, DNPC APRN FNP PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Clara, CA
  • NPI 1609383082
  NPD (past)
• Teresa D Kendrick, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Southaven, MS
  • NPI 1437406485
  NPD (past)

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1407244171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 STONEBRIDGE BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052042",
            "telephone_number": "731-664-7949",
            "fax_number": "731-664-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 STONEBRIDGE BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052042",
            "telephone_number": "731-664-7949",
            "fax_number": "731-664-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-664-7949",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lynn Berkley, PHARM D.
• Blaire Alexandria Berry-Young, LPN
• Joy Marie Berry, CASE MANAGER
• Shelby Kathryn Berry, CRNA
• Grant Beshires
• Better Options LLC
• Hailey Betts
• Johnna Lea Beuerlein, APRN
• Michelle R Bevis, OT
• Angelina Bey, LMT

• Internal Medicine Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.