Midsouth Primary Care PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

TN0000030512 Issued in TN

Legal business name

MIDSOUTH PRIMARY CARE PC

Practice address

6019 Walnut Grove Rd
Memphis, TN 38120-2113

Phone

(901) 240-8294

Fax

(901) 751-7054

NPI assigned

Aug 5, 2006

Last updated

Aug 7, 2019By 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

Dr. Alka KamoNPI 1295738128

Title

Office Manager

Phone

(901) 240-8294

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Alka Kamo, M.D.

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1295738128
  Authorized official Same address or phone

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1427067941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 HAWK GLADE CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187763",
            "telephone_number": "901-240-8294",
            "fax_number": "901-751-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 WALNUT GROVE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202113",
            "telephone_number": "901-240-8294",
            "fax_number": "901-751-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "KAMO",
        "authorized_official_first_name": "ALKA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "901-240-8294",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "TN0000030512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3826065",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midsouth Internists, PC
• Midsouth Mental Health LLC
• Midsouth Mental Health Services, Inc
• Midsouth Neurology Clinic PLLC
• Midsouth Neuropathy Treatment Center
• Midsouth Residential Care Center,Inc.
• Midsouth Sleep Diagnostic Center Inc (American Sleep Medicine)
• Midsouth Therapy Group
• Midsouth Vision Center
• Midtown Center for Health and Rehabilitation, LLC (Midtown Center For Health and Rehabilitation)

• Internal Medicine Physician in Memphis, TN
• Providers in Memphis, 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 Aug 7, 2019; 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.