NPIMap

Organization Active NPI

Cordova Pediatrics PLLC

  • Pediatrics Physician
  • Cordova, TN
National Provider Identifier
1477513992
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0000032024 Issued in TN
Legal business name
CORDOVA PEDIATRICS PLLC
Practice address
1665 Bonnie Lane
Suite 101
Cordova, TN 38016
Phone
(901) 531-8555
Fax
(901) 531-8560
NPI assigned
Mar 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Monica Wright, MDNPI 1679776587
Title
Chief Manager
Phone
(901) 531-8555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 0000032024 TN Primary

Addresses

Primary practice location

1665 Bonnie Lane
Suite 101
Cordova, TN 38016

Mailing address

PO Box 182
Cordova, TN 38088-0182
Phone (901) 531-8555

Other names 1

  • Monica Wright MD Doing business as

National Provider Directory

National Provider Directory

Locations

3674 Goodman Rd E
Ste 9
Southaven, MS 38672
Phone (662) 890-7747

1665 Bonnie Ln
Cordova, TN 38016
Phone (901) 531-8555

1665 Bonnie Ln
Ste 101
Cordova, TN 38016
Phone (901) 531-8555

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477513992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380880182",
            "telephone_number": "901-531-8555",
            "fax_number": "901-531-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 BONNIE LANE",
            "address_2": "SUITE 101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "38016",
            "telephone_number": "901-531-8555",
            "fax_number": "901-531-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDOVA PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "901-531-8555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "0000032024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monica Wright MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.