Organization Active NPI

Hamm, Blackstock & Stern, PLLC

  • Addiction Medicine (Family Medicine) Physician
  • Germantown, TN
National Provider Identifier
1518425941
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
HAMM, BLACKSTOCK & STERN, PLLC
Practice address
2135 Dalkeith Dr
Germantown, TN 38139-3407
Phone
(731) 616-4099
NPI assigned
Mar 5, 2019
Last updated
Mar 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Krystal L Spencer
Title
VP of Operations
Phone
(731) 608-0933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

2135 Dalkeith Dr
Germantown, TN 38139-3407

Mailing address

PO Box 1000 Dept #3032
Memphis, TN 38148-3032
Phone (731) 608-0933

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1518425941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000 DEPT #3032",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381483032",
            "telephone_number": "731-608-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 DALKEITH DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381393407",
            "telephone_number": "731-616-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMM, BLACKSTOCK & STERN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "731-608-0933"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.