Faiza B Memon, M.D

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD0000039121 Issued in TN

Practice address

5123 Virginia Way Ste C11
Brentwood, TN 37027-7557

Phone

(615) 373-5205

Fax

(615) 373-5160

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Specialty

Psychiatry

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Faiza Memon, MD PLLC

  • Adult Mental Health Clinic/Center
  • Brentwood, TN
  • NPI 1306561238
  Medicare reassignment NPD Authorized official
• Radnor Psychiatric Group

  • Psychiatry Physician
  • Brentwood, TN
  • NPI 1437262854
  NPD
• Center for Health Culture and Society

  • Community/Behavioral Health Agency
  • Nashville, TN
  • NPI 1346622560
  NPD (past)
• Meharry Medical College

  • Clinic/Center
  • Nashville, TN
  • NPI 1205859279
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1497820146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5123 VIRGINIA WAY STE C11",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277557",
            "telephone_number": "615-373-5205",
            "fax_number": "615-373-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5123 VIRGINIA WAY STE C11",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277557",
            "telephone_number": "615-373-5205",
            "fax_number": "615-373-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMON",
        "first_name": "FAIZA",
        "middle_name": "B",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD0000039121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "4111508",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Melancon
• Jesus Melo Santos
• Anidolee E Melville- Chester, PHD- LMFT
• Amy Louise Melvin
• Membella Care LLC
• Hayden Menshouse
• Merakey Allos
• Hailey Hope Mercer, MSW, LCSW
• Robin Merchant
• Sherry Merideth, MS, LPC-MHSP (TEMP)

• Psychiatry Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.

Verify at the official NPI Registry.