Active NPI
Sabrina Plante McGurrin, M.D.
- Internal Medicine Physician
- Memphis, TN
National Provider Identifier
1508802711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 233362
- Practice address
- 1040 Jefferson Ave
Memphis, TN 38104 - Phone
- (901) 523-8990
- Fax
- (901) 522-3433
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 233362 | NY | Primary |
Addresses
Primary practice location
1040 Jefferson Ave
Memphis, TN 38104
Mailing address
1030 Jefferson Ave
Memphis, TN 38104-2193
Phone (901) 523-8990
Other practice location 1
Syracuse Veterans Administration Medical Center
800 Irving Avenue
Syracuse, NY 13210
Phone (315) 425-6515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508802711 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160523001033 | NY | Order and Referring Only - Internal Medicine | 2062691439 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1508802711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 JEFFERSON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381042193",
"telephone_number": "901-523-8990",
"fax_number": "901-522-3433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 JEFFERSON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38104",
"telephone_number": "901-523-8990",
"fax_number": "901-522-3433"
}
],
"practiceLocations": [
{
"address_1": "Syracuse Veterans Administration Medical Center",
"address_2": "800 Irving Avenue",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "13210",
"country_code": "US",
"telephone_number": "315-425-6515",
"fax_number": "315-425-2489",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGURRIN",
"first_name": "SABRINA",
"middle_name": "PLANTE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "233362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508802711",
"state": "NY"
}
],
"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 Aug 1, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.