Individual provider Active NPI

Jennifer Mink, M.D.

  • Pediatrics Physician
  • Memphis, TN
National Provider Identifier
1598759359
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
39459 Issued in TN
Practice address
6625 Lenox Park Dr Ste 101
Memphis, TN 38115-4397
Phone
(901) 683-0024
Fax
(901) 683-0086
NPI assigned
Sep 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 39459 TN Primary

Addresses

Primary practice location

6625 Lenox Park Dr Ste 101
Memphis, TN 38115-4397

Mailing address

6625 Lenox Park Dr Ste 202
Memphis, TN 38115-8200
Phone (901) 683-0024

Other identifiers 2

IdentifierTypeStateIssuer
5440563MedicaidTN
Q011817MedicaidTN

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
I20050414000834 TN Practitioner - Pediatric Medicine 7012954688 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39459TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Darsalud Community Center Inc CurrentSince Oct 23, 2024 Accepting new patients
Dar Salud Care PLLC Current Accepting new patients
Raleigh Group P.C. Pediatrics Past Accepting new patients
Darsalud Community Center Inc PastSince Oct 23, 2024 Accepting new patients

Locations

6063 Mount Moriah Road Ext
Ste 4
Memphis, TN 38115
Phone (901) 531-8800

6625 Lenox Park Dr
Ste 101
Memphis, TN 38115
Phone (901) 683-0024

6625 Lenox Park Dr
Ste 202
Memphis, TN 38115

6625 Lenox Park Dr
Ste 201
Memphis, TN 38115

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.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1598759359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 LENOX PARK DR STE 202",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381158200",
            "telephone_number": "901-683-0024",
            "fax_number": "901-683-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 LENOX PARK DR STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154397",
            "telephone_number": "901-683-0024",
            "fax_number": "901-683-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINK",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "39459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5440563",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q011817",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.