Individual provider Active NPI

John Edwin Scallions, APRN

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1487951042
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19975 Issued in TN
Practice address
5683 S Rex Rd
Memphis, TN 38119-3821
Phone
(601) 350-0678
Fax
(901) 350-0677
NPI assigned
Feb 17, 2011
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 890929 MS
Family Nurse Practitioner 363LF0000X 19975 TN Primary

Addresses

Primary practice location

5683 S Rex Rd
Memphis, TN 38119-3821

Mailing address

P O Box 1000 Dept 960
Memphis, TN 38148-0001
Phone (901) 758-9900

Other practice location 1

8060 Wolf River Blvd
Germantown, TN 38138-1727
Phone (901) 271-1000

Other practice location 2

8060 Wolf River Blvd
Germantown, TN 38138-1727
Phone (901) 271-1000

Other practice location 3

1211 Union Ave Ste 965
Memphis, TN 38104-6638
Phone (901) 435-8550

Other practice location 4

7460 Wolf River Blvd
Germantown, TN 38138
Phone (901) 763-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120611000315 MS Practitioner - Nurse Practitioner 5597929141 Reassigns benefits to 4 organizations
I20150625002351 TN Practitioner - Nurse Practitioner 5597929141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Progressive Medical Management of Batesville LLCGroup PAC ID 0345583225, shared by 3 NPIs, 23 clinicians

Practice addresses (Care Compare)

303 Medical Ctr Dr
Batesville, MS 38606-8608
Phone (662) 578-4357

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
890929MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Pain and Regenerative Medicine PC Family CurrentSince Oct 3, 2023 Accepting new patients
Sunil Malhotra CurrentSince Aug 1, 2023 Accepting new patients
Bluff City Pain, PLLC CurrentSince Oct 21, 2025 Accepting new patients
Southern Pain and Regenerative Medicine PC Current Accepting new patients
Stern Cardiovascular Center, PA Current Accepting new patients
Alliance Healthcare System, Inc CurrentSince Jun 12, 2023 Accepting new patients
Alliance Healthcare System Inc CurrentSince Jun 12, 2023 Accepting new patients

Locations

1938 Crescent Meadows Dr
Holly Springs, MS 38635
Phone (662) 252-1599

1430 Highway 4 E
Holly Springs, MS 38635
Phone (662) 252-1212

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

8990 Germantown Rd
#B
Olive Branch, MS 38654
Phone (662) 775-0189

5740 Getwell Rd
Southaven, MS 38672
Phone (662) 349-0320

7362 Southcrest Pkwy
Southaven, MS 38671
Phone 90127110002272

5740 Getwell Rd
Ste B
Southaven, MS 38672
Phone (662) 510-2138

470 Goodman Rd E
Southaven, MS 38671
Phone (662) 536-3330

5683 S Rex Rd
Memphis, TN 38119
Phone (901) 350-0678

8060 Wolf River Blvd
Memphis, TN 38138
Phone (901) 271-2272

1720 E Reelfoot Ave
Ste 200
Union City, TN 38261
Phone (731) 507-0272

Interoperability endpoints

  • Direct secure messaging: john.scallions.1@17574.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17574/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1487951042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1000 DEPT 960",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-758-9900",
            "fax_number": "901-752-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5683 S REX RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193821",
            "telephone_number": "601-350-0678",
            "fax_number": "901-350-0677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8060 Wolf River Blvd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381727",
            "country_code": "US",
            "telephone_number": "901-271-1000",
            "fax_number": "901-271-4187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8060 Wolf River Blvd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381727",
            "country_code": "US",
            "telephone_number": "901-271-1000",
            "fax_number": "901-271-4187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1211 Union Ave Ste 965",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381046638",
            "country_code": "US",
            "telephone_number": "901-435-8550",
            "fax_number": "901-516-0933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7460 Wolf River Blvd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "38138",
            "country_code": "US",
            "telephone_number": "901-763-0200",
            "fax_number": "901-761-4002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCALLIONS",
        "first_name": "JOHN",
        "middle_name": "EDWIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-17",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "890929",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.