Individual provider Active NPI

Kesha James, MD

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1619187689
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44138 Issued in TN
Practice address
5131 Quince Rd Ste 107
Memphis, TN 38117-6846
Phone
(901) 701-1888
Fax
(901) 701-1136
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 44138 TN Primary

Addresses

Primary practice location

5131 Quince Rd Ste 107
Memphis, TN 38117-6846

Mailing address

5131 Quince Rd Ste 107
Memphis, TN 38117-6846
Phone (901) 701-1888

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
I20090219000262 TN Practitioner - Family Practice 7113082538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dedicated Physicians Group of Tennessee, PLLCGroup PAC ID 5597187088, 6 clinicians

Practice addresses (Care Compare)

5131 Quince Rd
Memphis, TN 38117-6846
Phone (901) 701-1888

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Primary Health Care PC Family Medicine CurrentSince Dec 22, 2016 Accepting new patients
Dedicated Physicians Group of Tennessee, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Memphis Urgent Care #2, LLC. Family Medicine PastSince Feb 14, 2021 Accepting new patients

Locations

7625 US Highway 64
Ste 107
Bartlett, TN 38133
Phone (901) 213-1110

1056 E Raines Rd
Memphis, TN 38116
Phone (901) 300-5777

5131 Quince Rd
Memphis, TN 38117
Phone (901) 440-3044

5131 Quince Rd
Ste 107
Memphis, TN 38117
Phone (901) 701-1888

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGAGAA

Organizations & group practices 3

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1619187689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 QUINCE RD STE 107",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381176846",
            "telephone_number": "901-701-1888",
            "fax_number": "901-701-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 QUINCE RD STE 107",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381176846",
            "telephone_number": "901-701-1888",
            "fax_number": "901-701-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "KESHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "44138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.