Individual provider Active NPI

Tamekia Hall

  • Nurse Practitioner
  • Munford, TN
National Provider Identifier
1427638154
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
29298 Issued in TN
Practice address
56 E Main St
Munford, TN 38058-6054
Phone
(901) 837-3735
NPI assigned
Apr 8, 2021
Last updated
Apr 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 29298 TN Primary

Addresses

Primary practice location

56 E Main St
Munford, TN 38058-6054

Mailing address

408 E Robin Cir
Covington, TN 38019-1555
Phone (901) 493-2065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211027001823 TN Practitioner - Nurse Practitioner 8224426085 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Family Care, PC CurrentSince Sep 1, 2021 Accepting new patients
Covington Internal Physicians PC CurrentSince Apr 11, 2021 Accepting new patients
Office of Internal Medicine, PC CurrentSince Sep 1, 2021 Accepting new patients

Locations

2693 Union Avenue Ext
Ste 100
Memphis, TN 38112
Phone (901) 722-0088

56 E Main St
Munford, TN 38058
Phone (901) 476-7178

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.400379

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1427638154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E ROBIN CIR",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380191555",
            "telephone_number": "901-493-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 E MAIN ST",
            "city": "MUNFORD",
            "state": "TN",
            "postal_code": "380586054",
            "telephone_number": "901-837-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "TAMEKIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "29298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munford, TN

Sources for this page

Verify at the official NPI Registry.