Christopher Michael Bennett, NURSE PRACTITIONER
Individual provider Active NPI Nurse Practitioner · Germantown, TN
NPI 1497629448 · NPPES record last updated Oct 2, 2025
Key facts
- NPI
- 1497629448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 39324 (TN)
- Practice address
- 1400 S Germantown Rd
Germantown, TN 38138-2205 - Phone
- (901) 759-3111
- NPI assigned
- Oct 2, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 26
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Campbell Clinic, PC
Practice addresses (Care Compare)
1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100
7545 Airways Blvd
Southaven, MS 38671-5806
Phone (901) 759-3196
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251106004783 | TN | Practitioner - Nurse Practitioner | 2668962788 | Reassigns benefits to 1 organization |
| I20260330000805 | MS | Practitioner - Nurse Practitioner | 2668962788 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39324 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell Clinic, PC | Nurse Practitioner | Current |
Accepting new patients |
| Campbell Clinic PC | Current |
Accepting new patients | |
| CC Bpci PLC | Past | Accepting new patients | |
| Campbell Clinic | Past | Accepting new patients |
Locations
6760 Goodman Rd
Ste 110
Olive Branch, MS 38654
7545 Airways Blvd
Southaven, MS 38671
Phone (901) 759-3196
7887 Wolf River Blvd
Memphis, TN 38138
Phone (901) 759-3180
1211 Union Ave
Ste 500
Memphis, TN 38104
Phone (901) 759-3275
1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111
Interoperability endpoints
- https://api.platform.athenahealth.com/1366/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 39324 | TN | Yes |
Addresses
Primary practice location
1400 S Germantown Rd
Germantown, TN 38138-2205
Mailing address
1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3111
Other providers in Germantown, TN
- Emily Jane Bell
- Bellano Dental Wolf River, PLLC
- Bellott & Parrish Dentistry
- Charles Daniel Bellott
- Karima Benameur
- Barbara Bentley
- Melanie Benton
- Jennifer Haaga Berger
- Jonathan R Berger
- Hannah Marie Bernstein
All providers in Germantown, TN · Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.