NPIMap

Individual provider Active NPI

Preston G Givens, MD

  • Family Medicine Physician
  • Germantown, TN
National Provider Identifier
1508848672
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD29837 Issued in TN
Practice address
9047 Poplar Ave Ste 105
Germantown, TN 38138-6401
Phone
(901) 752-2300
Fax
(901) 752-2367
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD29837 TN Primary

Addresses

Primary practice location

9047 Poplar Ave Ste 105
Germantown, TN 38138-6401

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other identifiers 3

IdentifierTypeStateIssuer
1906820OtherTNUNITED HEALTHCARE
7153011OtherTNAETNA
3918851OtherTNCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050914000804 TN Practitioner - Family Practice 0446283048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Group, LLCGroup PAC ID 0941480131, 108 clinicians

Practice addresses (Care Compare)

2961 Canada Rd
Suite 105
Lakeland, TN 38002-4893
Phone (901) 388-0115

9047 Poplar Ave
Suite 105
Germantown, TN 38138-6401
Phone (901) 752-2300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD29837TNMDFamily Medicine Physician
29837TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Group LLC Family Medicine CurrentSince Apr 1, 2013 Accepting new patients
Methodist Healthcare - Memphis Hospitals PastSince May 11, 2025 Accepting new patients
BMG Family Physicians Group Foundation, Inc Family Medicine PastSince Aug 1, 2020 Accepting new patients

Locations

8035 Club Pkwy
Cordova, TN 38016
Phone (901) 758-6035

9047 Poplar Ave
Ste 105
Germantown, TN 38138
Phone (901) 752-2300

2961 Canada Rd
Ste 105
Lakeland, TN 38002
Phone (901) 388-0115

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

1211 Union Ave
Ste 700
Memphis, TN 38104
Phone (901) 287-5182

Interoperability endpoints

  • Direct secure messaging: pgivens31682@mlh.direct-ci.com
  • FHIR API: https://rxedi.bmhcc.org/prd-fhir/api/FHIR/R4/

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1508848672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9047 POPLAR AVE STE 105",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381386401",
            "telephone_number": "901-752-2300",
            "fax_number": "901-752-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIVENS",
        "first_name": "PRESTON",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD29837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1906820",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7153011",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3918851",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.