Nephrology Services Medical Group of Memphis PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NEPHROLOGY SERVICES MEDICAL GROUP OF MEMPHIS PC

Practice address

6025 Walnut Grove Rd Ste 314
Memphis, TN 38120-2123

Phone

(901) 747-3501

Fax

(901) 747-3516

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Bobby J. Kelley, M.D.

Title

President

Phone

(901) 747-3501

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Catherine Pantik, APRN

  • Nurse Practitioner
  • Memphis, TN
  • NPI 1831685437
  NPD

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1447269709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 WALNUT GROVE RD STE 314",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202123",
            "telephone_number": "901-747-3501",
            "fax_number": "901-747-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 WALNUT GROVE RD STE 314",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202123",
            "telephone_number": "901-747-3501",
            "fax_number": "901-747-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY SERVICES MEDICAL GROUP OF MEMPHIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-747-3501",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015986",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4008478",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan F Nelson, M. D.
• Nemtransport
• Neovance Specialty Pharmacy LLC
• Neovance Specialty Pharmacy LLC
• Diksha Nepal
• Nercher Older Adult Community Resource
• Debra Denise Nesbit, CEO
• Melanie Shaw Nesbitt, D.D.S.
• William Nicholas Nesmith, PTA
• Rachel Anne Ness, PHARMD

• Specialist in Memphis, TN
• Providers in Memphis, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.