Active NPI
John Edwin Scallions, APRN
- Family Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19975
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 890929 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Pain and Regenerative Medicine PC | Family | Current | Accepting new patients |
| Sunil Malhotra | Current | Accepting new patients | |
| Bluff City Pain, PLLC | Current | 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 | Current | Accepting new patients | |
| Alliance Healthcare System Inc | Current | 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
- john.scallions.1@17574.direct.athenahealth.com
- 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.
-
dba Williams Medical Clinic
- Rural Health Clinic/Center
- Holly Springs, MS
- NPI 1821143256
-
- Interventional Pain Medicine Physician
- Olive Branch, MS
- NPI 1841799707
Family, TN
-
- Cardiovascular Disease Physician
- Germantown, TN
- NPI 1316242266
MS
-
- Pain Medicine (Anesthesiology) Physician
- Memphis, TN
- NPI 1790651263
-
- Interventional Pain Medicine Physician
- Union City, TN
- NPI 1659855252
-
- Cardiovascular Disease Physician
- Germantown, TN
- NPI 1699790311
-
- Psychiatric Hospital
- Holly Springs, MS
- NPI 1912182197
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Panola Medical Center
- Rural Acute Care Hospital
- Batesville, MS
- NPI 1053873307
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.