Organization Active NPI

Cross Medical Primary Care

  • Primary Care Clinic/Center
  • Memphis, TN
National Provider Identifier
1619403870
Registry record updated Aug 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CROSS MEDICAL PRIMARY CARE
Practice address
6222 East Shelby Drive
Memphis, TN 38141
Phone
(901) 878-3274
NPI assigned
May 10, 2017
Last updated
Aug 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2017

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

Authorized official

Name
Ms. Termaria Jackson
Title
Practice Manager
Phone
(901) 878-3274

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

6222 East Shelby Drive
Memphis, TN 38141

Mailing address

7345 George Lane
Horn Lake, MS 38637
Phone (901) 671-7856

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1619403870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 GEORGE LANE",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "38637",
            "telephone_number": "901-671-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 EAST SHELBY DRIVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38141",
            "telephone_number": "901-878-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS MEDICAL PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TERMARIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "901-878-3274",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.