Charlotte A Deflumere, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD0000020004 Issued in TN

Practice address

1068 Cresthaven Rd
Suite 110
Memphis, TN 38119-0800

Phone

(901) 405-6470

Fax

(901) 747-2338

NPI assigned

May 23, 2005

Reactivated

Mar 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Spectrum Pain Clinics Inc.

  • Interventional Pain Medicine Physician
  • Cordova, TN
  • NPI 1265533897

  TN

  Medicare reassignment NPD
• Charlotte Deflumere, MD,PC

  • Addiction Medicine (Internal Medicine) Physician
  • Memphis, TN
  • NPI 1912242405
  NPD (past) Authorized official
• Spectrum Pain Clinics, Inc

  • Durable Medical Equipment & Medical Supplies
  • Jackson, TN
  • NPI 1053100560
  NPD

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1457354599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17825",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381870825",
            "telephone_number": "901-405-6470",
            "fax_number": "901-747-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 CRESTHAVEN RD",
            "address_2": "SUITE 110",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190800",
            "telephone_number": "901-405-6470",
            "fax_number": "901-747-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFLUMERE",
        "first_name": "CHARLOTTE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2012-09-11",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000020004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4417762",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5007925",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "627127667",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN BCBS PROVIDER NUMBER",
            "identifier": "3106698",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110214654",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3826001",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah Meadows Dedwylder, PA
• Dee'S Around the Clock
• Deepika R Pulusani, MD, PC
• Rachel Deese, LPC-MHSP
• Brian Matthew Defeo, PT, DPT
• Joseph A Defranco, MD
• Kelsey Defreece
• Mojdeh Dehghan, DDS
• Sondra Deimund, FNP
• Martin Erasmo Del Real Navarro

• All providers in Memphis, TN
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.