Individual provider Active NPI

Chiemeziem Nwanyanwu, M.B.B.S

  • Infectious Disease Physician
  • Memphis, TN
National Provider Identifier
1477937548
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
61802 Issued in TN
Practice address
6029 Walnut Grove Rd # C002
Memphis, TN 38120-2112
Phone
(901) 685-3490
Fax
(901) 685-3499
NPI assigned
Jul 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 61802 TN Primary

Addresses

Primary practice location

6029 Walnut Grove Rd # C002
Memphis, TN 38120-2112

Mailing address

6029 Walnut Grove Rd Ste C002
Memphis, TN 38120-2112
Phone (901) 685-3490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX, WV, SC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20200918001053 TN Practitioner - Infectious DiseasePractitioner - Internal Medicine 8426476714 Reassigns benefits to 2 organizations
I20250321002533 TX Practitioner - Infectious Disease 8426476714 Reassigns benefits to 1 organization
I20250328001898 WV Practitioner - Infectious Disease 8426476714 Reassigns benefits to 1 organization
I20250919004237 SC Practitioner - Infectious Disease 8426476714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Consolidated Medical Practices of Memphis,PLLCGroup PAC ID 1759459845, 113 clinicians

Practice addresses (Care Compare)

Germantown, TN 38138
Phone (972) 449-0540

Spring, TX 77382
Phone (972) 449-0540

Shenandoah, TX 77384
Phone (972) 449-0540

San Antonio, TX 78255
Phone (972) 449-0540

551 Hill Country Dr
Kerrville, TX 78028-6085
Phone (972) 449-0540

6799 Great Oaks Rd
Suite 250
Memphis, TN 38138-2584
Phone (901) 261-0700

Hospital & facility affiliations

  • Baptist Home Care and Hospice North Mississippi Home health agency, Batesville, MS, CCN 257114
  • Baptist Trinity Homecare & Hospice Home health agency, Cordova, TN, CCN 447407
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61802TNMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Threlkeld Threlkeld and Omer PLLC Single Specialty CurrentSince Nov 29, 2020 Accepting new patients
Consolidated Medical Practices of Memphis,PLLC Single Specialty CurrentSince Sep 15, 2020 Accepting new patients
Access Telecare, PLLC Single Specialty CurrentSince Feb 18, 2024 Accepting new patients
Ut Lebonheur Pediatric Specialists, Inc. Single Specialty PastSince Nov 29, 2020 Accepting new patients

Locations

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

6799 Great Oaks Rd
Ste 250
Memphis, TN 38138
Phone (901) 261-0700

6029 Walnut Grove Rd
#C2
Memphis, TN 38120
Phone (901) 685-3490

6029 Walnut Grove Rd
Ste C2
Memphis, TN 38120
Phone (901) 226-3190

Interoperability endpoints

  • Direct secure messaging: cnwanyanwu24490@mlh.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1477937548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6029 WALNUT GROVE RD STE C002",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202112",
            "telephone_number": "901-685-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 WALNUT GROVE RD # C002",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202112",
            "telephone_number": "901-685-3490",
            "fax_number": "901-685-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANYANWU",
        "first_name": "CHIEMEZIEM",
        "credential": "M.B.B.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TN",
            "license": "61802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.