Medsouth Healthcare PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEDSOUTH HEALTHCARE PC

Practice address

1700 Woodlawn Ave
Dyersburg, TN 38024-2028

Phone

(731) 287-4500

Fax

(731) 287-4804

NPI assigned

Sep 14, 2005

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David W Alred

Title

Administrator

Phone

(731) 287-4512

Specialties & licenses 5

Addresses

Other identifiers 6

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joe W Hunt, MD

  • Family Medicine Physician
  • Ripley, TN
  • NPI 1417941022

  Single Specialty

  NPD (past)
• Stevens D Melton, MD

  • Pediatrics Physician
  • Dyersburg, TN
  • NPI 1629062203

  Family Medicine

  NPD (past)
• Lee David Mockrin, MD

  • Pediatrics Physician
  • Smyrna, TN
  • NPI 1053305664
  NPD (past)
• George Spanos, DO

  • Emergency Medicine Physician
  • Bolivar, TN
  • NPI 1760412654
  NPD (past)
• Randy R Isaacs, MD

  • Pediatrics Physician
  • Mattoon, IL
  • NPI 1851385462
  NPD (past)
• Michelle Grace Puzdrakiewicz, M.D.

  • Pediatrics Physician
  • Jefferson, LA
  • NPI 1376526392
  NPD (past)

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1578558698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WOODLAWN AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242028",
            "telephone_number": "731-287-4500",
            "fax_number": "731-287-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WOODLAWN AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242028",
            "telephone_number": "731-287-4500",
            "fax_number": "731-287-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSOUTH HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ALRED",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "731-287-4512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3705388",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3705380",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3705383",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3705389",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3705385",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3705386",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Privett McLemore, SLP
• Hannah W McNeil, RN
• Jordan Nicole McNeil, FNP-BC
• Sandra Elder McNeill, APN
• Edward B McWhirt, MD
• Amber Elaine Mejia, RN
• Stevens D Melton, MD
• Memphis Hand Center (Southern Hand Centers)
• Memphis Vamc
• Linette Nicole Meredith, PH.D,CCC-SLP

• Family Medicine Physician in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.