Organization Active NPI

Adult Primary Care of Memphis, PC

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1467401323
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0000029209 Issued in TN
Legal business name
ADULT PRIMARY CARE OF MEMPHIS, PC
Practice address
3294 Poplar Ave
Suite 100
Memphis, TN 38111-4649
Phone
(901) 324-3660
Fax
(901) 324-3668
NPI assigned
May 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mohammed I Abutineh, M.D.
Title
President
Phone
(901) 324-3660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0000029209 TN Primary

Addresses

Primary practice location

3294 Poplar Ave
Suite 100
Memphis, TN 38111-4649

Mailing address

PO Box 338
Memphis, TN 38101-0338
Phone (901) 324-3660

Other identifiers 1

IdentifierTypeStateIssuer
3812969MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467401323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381010338",
            "telephone_number": "901-324-3660",
            "fax_number": "901-324-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3294 POPLAR AVE",
            "address_2": "SUITE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114649",
            "telephone_number": "901-324-3660",
            "fax_number": "901-324-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT PRIMARY CARE OF MEMPHIS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABUTINEH",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-324-3660",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000029209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3812969",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.