Gregory Lance Phelps Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

47483 Issued in TN

Practice address

1169 Jefferson Ave
Memphis, TN 38104

Phone

(901) 425-1880

NPI assigned

Apr 4, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hospitalist

Education

University of Tennessee, HSC, College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carelon Medical Partners of Arizona PCGroup PAC ID 6406010552, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gregory.phelps.1@32527.direct.athenahealth.com
• Direct secure messaging: gphelps26386@mlh.direct-ci.com
• Direct secure messaging: gregory.phelpsjr.p1@direct.caremoreagp.nextgenshare.com
• Direct secure messaging: gphelps174200@direct.bmhcc.org

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.

• Carelon Medical Partners of Arizona, P.C.

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1730697483

  Single Specialty, TN

  Medicare reassignment Care Compare group NPD
• Methodist Healthcare Community Care Associates

  • Urgent Care Clinic/Center
  • Cordova, TN
  • NPI 1194839241

  Single Specialty

  Medicare reassignment NPD
• Methodist Healthcare Community Care Associates

  • Corporate Health Clinic/Center
  • Memphis, TN
  • NPI 1699941195

  Single Specialty

  NPD
• Methodist Heatlhcare Community Care Associates

  • Urgent Care Clinic/Center
  • Memphis, TN
  • NPI 1124277967
  NPD
• Caremore Medical Group of Tennessee PC

  • General Practice Physician
  • Memphis, TN
  • NPI 1265834048

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1619140209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR STE 150",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329",
            "telephone_number": "626-222-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 JEFFERSON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38104",
            "telephone_number": "901-425-1880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6544 Quince Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381198211",
            "country_code": "US",
            "telephone_number": "901-425-0190",
            "fax_number": "901-624-6234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6544 Quince Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381198211",
            "country_code": "US",
            "telephone_number": "901-425-0190",
            "fax_number": "901-624-6234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "GREGORY",
        "middle_name": "LANCE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-04",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "47483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Pharis, M.D.
• Pharmedium Servcies LLC
• Natyeja Marie Pharms, RBT
• Phase 2 Behavioral Health
• Zoey Lee Phelps-Bergeron, PA-C
• Kristi Evans Phelps, RPH
• Charonda Lynnice Phifer, FNP
• Kirasten Raye Phifer, RBT
• Ranjit Philip, M.D.
• Phillip R. Bowden, M.D.,P.a.

• Internal Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.