Individual provider Active NPI

Betty Jo Dulaney, M.D.

  • Obstetrics & Gynecology Physician
  • Germantown, TN
National Provider Identifier
1548370992
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD0040096 Issued in TN
Practice address
2157 Judicial Dr
Germantown, TN 38138-3824
Phone
(901) 309-6745
Fax
(901) 309-6758
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD0040096 TN Primary

Addresses

Primary practice location

2157 Judicial Dr
Germantown, TN 38138-3824

Mailing address

2157 Judicial Dr
Germantown, TN 38138-3824
Phone (901) 309-6745

Other practice location 1

8110 N Brother Blvd
Bartlett, TN 38133-2760
Phone (901) 255-5221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20051114001109 TN Practitioner - Obstetrics/Gynecology 1850310350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Obstetrics and Gynecological Association PCGroup PAC ID 7214918762, 46 clinicians

Practice addresses (Care Compare)

2157 Judicial Dr
Germantown, TN 38138-3824
Phone (901) 309-6745

6215 Humphreys Blvd
Suite 401
Memphis, TN 38120-2382
Phone (901) 682-9222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0040096TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Health Specialists, PLLC Obstetrics & Gynecology Current Accepting new patients
Memphis Obstetrics and Gynecological Association PC Obstetrics & Gynecology CurrentSince Mar 1, 2025 Accepting new patients

Locations

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

6215 Humphreys Blvd
Ste 401
Memphis, TN 38120
Phone (901) 682-9222

Interoperability endpoints

  • Direct secure messaging: bdulaney23261@mlh.direct-ci.com
  • Direct secure messaging: betty.dulaney.1@16415.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16415/brand/2/csg/1/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 4

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1548370992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 JUDICIAL DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383824",
            "telephone_number": "901-309-6745",
            "fax_number": "901-309-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 JUDICIAL DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383824",
            "telephone_number": "901-309-6745",
            "fax_number": "901-309-6758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8110 N Brother Blvd",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381332760",
            "country_code": "US",
            "telephone_number": "901-255-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DULANEY",
        "first_name": "BETTY JO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD0040096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.