NPIMap

Organization Active NPI

Methodist Specialty Physicians, LLC

Doing business as Methodist Alliance Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Memphis, TN
National Provider Identifier
1457557027
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
METHODIST SPECIALTY PHYSICIANS, LLC
Doing business as
Methodist Alliance Palliative Care
Practice address
6400 Shelby View Dr Ste 101
Memphis, TN 38134-7659
Phone
(901) 516-1400
Fax
(901) 516-1401
NPI assigned
Jun 21, 2007
Last updated
Jan 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Mr. Gina Baptiste
Title
Chief Financial Officer
Phone
(901) 516-1400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X Primary

Addresses

Primary practice location

6400 Shelby View Dr Ste 101
Memphis, TN 38134-7659

Mailing address

6400 Shelby View Dr Ste 101
Memphis, TN 38134-7659
Phone (901) 516-1400

Other names 1

  • Methodist Alliance Palliative Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071113000637 TN Part B Supplier - Clinic/Group Practice 9739277419 Receives reassigned benefits from 9 practitioners
Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Locations

6423 Shelby View Dr
Ste 103
Memphis, TN 38134
Phone (901) 516-1600

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1457557027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SHELBY VIEW DR STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347659",
            "telephone_number": "901-516-1400",
            "fax_number": "901-516-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 SHELBY VIEW DR STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347659",
            "telephone_number": "901-516-1400",
            "fax_number": "901-516-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST SPECIALTY PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "BAPTISTE",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "901-516-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Alliance Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.