Individual provider Active NPI

Christi Lee Cazalas Earnest, M.D.

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1609096148
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
47922 Issued in TN
Practice address
1533 Union Ave
Memphis, TN 38104-3726
Phone
(901) 320-6915
Fax
(901) 320-6920
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 30158 AL
Pediatrics Physician 208000000X 47922 TN
Internal Medicine Physician 207R00000X 47922 TN Primary
Internal Medicine Physician 207R00000X 30158 AL

Addresses

Primary practice location

1533 Union Ave
Memphis, TN 38104-3726

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other practice location 1

3473 Poplar Ave
Suite 103
Memphis, TN 38111-4654
Phone (901) 320-6915

Other identifiers 1

IdentifierTypeStateIssuer
1525696MedicaidTN

Other names 1

  • Christi Lee Cazalas Former name

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
I20111108000811 TN Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6103011895 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Alabama School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Group, LLCGroup PAC ID 0941480131, 108 clinicians

Practice addresses (Care Compare)

1533 Union Ave
Memphis, TN 38104-3726
Phone (901) 721-1200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30158ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Healthcare Community Care Associates CurrentSince Jul 1, 2015 Accepting new patients
Primary Care Group LLC Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Methodist Healthcare Community Care Associates CurrentSince Jul 1, 2015 Accepting new patients
Methodist Healthcare - Memphis Hospitals PastSince Jul 1, 2016 Accepting new patients

Locations

8035 Club Pkwy
Cordova, TN 38016
Phone (901) 758-6035

2961 Canada Rd
Ste 105
Lakeland, TN 38002
Phone (901) 388-0115

1533 Union Ave
Memphis, TN 38104
Phone (901) 721-1200

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

3473 Poplar Ave
#103
Memphis, TN 38111
Phone (901) 320-6915

1211 Union Ave
Ste 700
Memphis, TN 38104
Phone (901) 287-5182

8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001

Interoperability endpoints

  • Direct secure messaging: cearnest24030@mlh.direct-ci.com

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.

Hospital & facility affiliations 5

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1609096148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043726",
            "telephone_number": "901-320-6915",
            "fax_number": "901-320-6920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3473 Poplar Ave",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381114654",
            "country_code": "US",
            "telephone_number": "901-320-6915",
            "fax_number": "301-320-6920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EARNEST",
        "first_name": "CHRISTI",
        "middle_name": "LEE CAZALAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "30158",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "47922",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "47922",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "30158",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525696",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTI",
            "last_name": "CAZALAS",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.