Individual provider Active NPI

Pauline Linda Adhoch, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1467790469
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000017299 Issued in TN
Practice address
1056 E Raines Rd
Memphis, TN 38116-6337
Phone
(901) 300-5777
Fax
(901) 422-6092
NPI assigned
Jan 25, 2013
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0000017299 TN Primary

Addresses

Primary practice location

1056 E Raines Rd
Memphis, TN 38116-6337

Mailing address

1056 E Raines Rd
Memphis, TN 38116-6337
Phone (901) 300-5777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130320000204 TN Practitioner - Nurse Practitioner 5193960276 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
71.04
Promoting interoperability
100
Improvement activities
40
Cost
81.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000017299TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Physicians Group of Tennessee, PLLC CurrentSince Oct 1, 2024 Accepting new patients
Mid-South Urgent Care, PLLC CurrentSince Mar 25, 2024 Accepting new patients
Wci School Health Services, PLLC Family CurrentSince May 1, 2012 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Nov 2, 2022 Accepting new patients
Mid-South Urgent Care, PLLC CurrentSince Mar 25, 2024 Accepting new patients

Locations

5905 Stage Rd
Bartlett, TN 38134
Phone (901) 779-8657

1204 N Houston Levee Rd
Ste 114
Cordova, TN 38018
Phone (901) 355-7197

676 N Germantown Pkwy
Cordova, TN 38018
Phone (901) 259-0986

1056 E Raines Rd
Memphis, TN 38116
Phone (901) 300-5777

1212 Vollintine Ave
Memphis, TN 38107
Phone (901) 531-6321

650 New York St
Memphis, TN 38104

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8332/brand/1/csg/1/fhir/r4
  • Direct secure messaging: pauline.adhoch.p1@direct.tristatechc.nextgenshare.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1467790469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 E RAINES RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166337",
            "telephone_number": "901-300-5777",
            "fax_number": "901-422-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 E RAINES RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166337",
            "telephone_number": "901-300-5777",
            "fax_number": "901-422-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADHOCH",
        "first_name": "PAULINE",
        "middle_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-25",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000017299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.