Anum Abbas, PA
Individual provider Active NPI Physician Assistant · Memphis, TN
NPI 1548048671 · NPPES record last updated Oct 21, 2024
Key facts
- NPI
- 1548048671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5683 (TN)
- Practice address
- 1211 Union Ave Ste 495
Memphis, TN 38104-6656 - Phone
- (901) 507-6600
- NPI assigned
- Sep 19, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Lincoln Memorial University Medical Department, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Heart Center of Memphis PLLC
Practice addresses (Care Compare)
1211 Union Ave
Suite 495
Memphis, TN 38104-6656
Phone (901) 507-6600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240612001614 | TN | Practitioner - Physician Assistant | 9436691912 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5683 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Cardiovascular Center, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5683 | TN | Yes |
Addresses
Primary practice location
1211 Union Ave Ste 495
Memphis, TN 38104-6656
Mailing address
748 Rain Dance Way
Cordova, TN 38018-1479
Other practice location 1
748 Rain Dance Way
Cordova, TN 38018-1479
Phone (662) 801-5446
Other providers in Memphis, TN
- Ab Care Transportation LLC
- ABA Connect LLC
- ABA Effects
- ABA Therapy & Beyond
- Huldah Abaidoo
- Elise Abbas
- Seema Abbasi
- Zainab Israr Abbasi
- Diane L. Abbey
- Kameron Abbey
All providers in Memphis, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.