Active NPI
Courtney Berger, PA-C
- Physician Assistant
- Memphis, TN
National Provider Identifier
1558090977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 8060 Wolf River Blvd
Memphis, TN 38138-1727 - Phone
- (901) 271-1000
- NPI assigned
- Jun 9, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Germantown, TN
- NPI 1316242266
TN
-
- Cardiovascular Disease Physician
- Memphis, TN
- NPI 1124171590
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Tennessee, HSC, College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stern Cardiovascular Center, PAStern Cardiovascular Foundation, Inc
Practice addresses (Care Compare)
8060 Wolf River Blvd
Germantown, TN 38138-1727
Phone (901) 271-1000
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: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220624000100 | TN | Practitioner - Physician Assistant | 8921487752 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5084 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stern Cardiovascular Center, PA | Current | Accepting new patients | |
| Mid-South Cardiovascular Center, LLC | Past | Accepting new patients |
Locations
8060 Wolf River Blvd
Memphis, TN 38138
Phone (901) 271-2272
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
8060 Wolf River Blvd
Memphis, TN 38138-1727
Mailing address
8060 Wolf River Blvd
Memphis, TN 38138-1727
Phone (901) 271-1000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 30, 2023.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1558090977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8060 WOLF RIVER BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381381727",
"telephone_number": "901-271-1000",
"fax_number": "901-271-4187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8060 WOLF RIVER BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381381727",
"telephone_number": "901-271-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "COURTNEY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-09",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.