Individual provider Active NPI

Pamela A Venegas, M.D.

  • Family Medicine Physician
  • Germantown, TN
National Provider Identifier
1609215854
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q7806 Issued in TX
Practice address
7658 Poplar Pike
Germantown, TN 38138-5941
Phone
(901) 759-2322
Fax
(019) 759-2077
NPI assigned
Jun 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0000060082 TN
Family Medicine Physician 207Q00000X 60082 TN
Family Medicine Physician 207Q00000X Q7806 TX Primary

Addresses

Primary practice location

7658 Poplar Pike
Germantown, TN 38138-5941

Mailing address

7658 Poplar Pike
Germantown, TN 38138-5941
Phone (901) 759-2322

Other practice location 1

7203 Goodman Rd
Olive Branch, MS 38654-1906
Phone (901) 759-2322

Other practice location 2

5949 Airline Road
Advanced Dermatology
Arlington, TN 38002-3813
Phone (901) 759-2322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191203001562 TN Practitioner - DermatologyPractitioner - Family PracticePractitioner - Internal Medicine 4880837715 Reassigns benefits to 1 organization
I20200424000697 TX Practitioner - Family Practice 4880837715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Levy Dermatology, PCGroup PAC ID 9032263538, 15 clinicians

Practice addresses (Care Compare)

6254 Poplar Ave
Memphis, TN 38119-4713
Phone (901) 624-3333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision30
Removal of skin lesions342
Skin biopsy261

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000060082TNMDDermatology Physician
60082TNMDFamily Medicine Physician
Q7806TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates Family Medicine CurrentSince May 1, 2020 Accepting new patients
Pain Management Specialists CurrentSince Feb 7, 2021 Accepting new patients
Levy Dermatology, PC Dermatology CurrentSince Jan 13, 2025 Accepting new patients
Symphony Specialty Group, LLC PastSince Jul 17, 2023 Accepting new patients
Dr. Adam T Keres LLC. Past Accepting new patients
Semmes-Murphey Clinic PC PastSince May 1, 2024 Accepting new patients

Locations

1125 Schilling Blvd E
Ste 105
Collierville, TN 38017
Phone (901) 624-3333

6254 Poplar Ave
Memphis, TN 38119
Phone (901) 624-3333

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

903 W Martin St
San Antonio, TX 78207
Phone (210) 358-3400

Organizations & group practices 6

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": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1609215854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7658 POPLAR PIKE",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381385941",
            "telephone_number": "901-759-2322",
            "fax_number": "019-759-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7658 POPLAR PIKE",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381385941",
            "telephone_number": "901-759-2322",
            "fax_number": "019-759-2077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7203 Goodman Rd",
            "address_purpose": "LOCATION",
            "city": "Olive Branch",
            "state": "MS",
            "postal_code": "386541906",
            "country_code": "US",
            "telephone_number": "901-759-2322",
            "fax_number": "901-759-2077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5949 Airline Road",
            "address_2": "Advanced Dermatology",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TN",
            "postal_code": "380023813",
            "country_code": "US",
            "telephone_number": "901-759-2322",
            "fax_number": "901-759-2077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENEGAS",
        "first_name": "PAMELA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "0000060082",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "60082",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q7806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.