Organization Active NPI

Total Health Primary Care LLC

  • Family Nurse Practitioner
  • Cordova, TN
National Provider Identifier
1417660648
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TOTAL HEALTH PRIMARY CARE LLC
Practice address
8223 Rockcreek Parkway
Cordova, TN 38016
Phone
(901) 515-7538
Fax
(901) 590-0677
NPI assigned
Jan 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Tina M Hollis, FNPNPI 1043724347
Title
Nurse Practitioner
Phone
(901) 515-7538

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

8223 Rockcreek Parkway
Cordova, TN 38016

Mailing address

8223 Rockcreek Pkwy
Cordova, TN 38016-4594
Phone (901) 515-7538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230220001225 AR Part B Supplier - Clinic/Group Practice 4486026580 Receives reassigned benefits from 1 practitioner
Practice locations: De Witt, AR
O20240110000855 TN Part B Supplier - Clinic/Group Practice 4486026580 Receives reassigned benefits from 1 practitioner
Practice locations: Cordova, TN

National Provider Directory

National Provider Directory

Locations

IN Home Provider
Memphis, TN 38148

2966 Elmore Park Rd
Unit 342745
Memphis, TN 38184

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1417660648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8223 ROCKCREEK PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164594",
            "telephone_number": "901-515-7538",
            "fax_number": "901-590-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8223 ROCKCREEK PARKWAY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "38016",
            "telephone_number": "901-515-7538",
            "fax_number": "901-590-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "HOLLIS",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "901-515-7538",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.