North Memphis Medical Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NORTH MEMPHIS MEDICAL CLINIC

Practice address

3950 New Covington Pike
Suite # 130
Memphis, TN 38128-2591

Phone

(347) 423-2301

NPI assigned

Nov 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Emmanuel IlohNPI 1801826961

Title

Medical Director

Phone

(347) 423-2301

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emmanuel Iloh, MD

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1801826961

  TN

  Medicare reassignment NPD Authorized official
• Latoya Shantae Cook, FNP

  • Family Nurse Practitioner
  • Germantown, TN
  • NPI 1235744525

  TN

  Medicare reassignment NPD
• Jo'Niece Phillips Redmond, DNP, APRN, AGACNP-BC

  • Nurse Practitioner
  • Memphis, TN
  • NPI 1386290369

  TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1629370648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 NEW COVINGTON PIKE",
            "address_2": "SUITE # 130",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282591",
            "telephone_number": "347-423-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 NEW COVINGTON PIKE",
            "address_2": "SUITE # 130",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282591",
            "telephone_number": "347-423-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MEMPHIS MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "ILOH",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "347-423-2301",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Norsworthy, PMHNP-BC
• North Delta Medical Services, Inc.
• North Delta Medical Supplies, Inc
• North Delta Medical Supplies, Inc
• North Internal Medicine, P. C.
• North Surgery Center LP
• Northcross Internal Medicine, PLLC
• Phillip R Northcross, M.C.
• Adrian Northcutt, PH.D.
• Bonnie Norton, PT

• All providers in Memphis, TN
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.