Active NPI
Steward Antonio Perry
- Case Manager/Care Coordinator
- Cordova, TN
National Provider Identifier
1437518479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 320 S Walnut Bend Rd
10
Cordova, TN 38018-7283 - Phone
- (901) 842-1770
- NPI assigned
- Feb 18, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
320 S Walnut Bend Rd
10
Cordova, TN 38018-7283
Mailing address
320 S Walnut Bend Rd
10
Cordova, TN 38018-7283
Phone (901) 842-1770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q017979 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455753600000",
"number": "1437518479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 S WALNUT BEND RD",
"address_2": "10",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380187283",
"telephone_number": "901-842-1770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 S WALNUT BEND RD",
"address_2": "10",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380187283",
"telephone_number": "901-842-1770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "STEWARD",
"middle_name": "ANTONIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-18",
"last_updated": "2016-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q017979",
"state": "TN"
}
],
"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 Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.