Individual provider Active NPI

Sabrina Plante McGurrin, M.D.

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1508802711
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
233362 Issued in NY
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

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1508802711MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160523001033 NY Order and Referring Only - Internal MedicinePractitioner - 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

Verify at the official NPI Registry.