Organization Active NPI

Jireh Health Services

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1558987255
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JIREH HEALTH SERVICES
Practice address
5810 Shelby Oaks Dr Ste B
Memphis, TN 38134-7315
Phone
(615) 486-2712
Fax
(615) 691-6615
NPI assigned
Jun 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Chelaia Gray, FNP-BC
Title
Provider/Authorized Official
Phone
(615) 596-8109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5810 Shelby Oaks Dr Ste B
Memphis, TN 38134-7315

Mailing address

5810 Shelby Oaks Dr Ste B
Memphis, TN 38134-7315
Phone (615) 596-8109

National Provider Directory

National Provider Directory

Locations

2018 Medical Center Pkwy
#B439
Murfreesboro, TN 37129

2018 Medical Center Pkwy
Ste B439
Murfreesboro, TN 37129
Phone (615) 486-2712

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23562/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1558987255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 SHELBY OAKS DR STE B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347315",
            "telephone_number": "615-596-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 SHELBY OAKS DR STE B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347315",
            "telephone_number": "615-486-2712",
            "fax_number": "615-691-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIREH HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "CHELAIA",
        "authorized_official_title_or_position": "PROVIDER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-596-8109",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 Jul 6, 2020; 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.