Individual provider Active NPI

Nicholas Guy Reeves, NP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1639816648
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32892 Issued in TN
Practice address
80 Humphreys Center Dr Ste 210
Memphis, TN 38120-2353
Phone
(901) 761-3900
Fax
(901) 578-2572
NPI assigned
May 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 32892 TN Primary

Addresses

Primary practice location

80 Humphreys Center Dr Ste 210
Memphis, TN 38120-2353

Mailing address

5540 Blocker St
Olive Branch, MS 38654-3062
Phone (901) 487-4095

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230123000889 TN Practitioner - Nurse Practitioner 6305217787 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Specialists Foundation, Inc.Group PAC ID 9830334010, 18 clinicians

Practice addresses (Care Compare)

80 Humphreys Ctr Dr
Suite 200
Memphis, TN 38120-2352
Phone (901) 761-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.28 of 100Reported as group
Quality
90.53
Promoting interoperability
100
Improvement activities
40
Cost
85.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
32892TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Specialists Foundation, Inc Family CurrentSince Mar 5, 2023 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Mar 5, 2023 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Mar 5, 2023 Accepting new patients

Locations

401 Southcrest Cir
Ste 203
Southaven, MS 38671
Phone (662) 775-4025

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

1500 W Poplar Ave
Ste 206
Collierville, TN 38017
Phone (901) 227-4067

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

80 Humphreys Center Dr
Ste 200
Memphis, TN 38120
Phone (901) 578-2538

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1639816648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 BLOCKER ST",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543062",
            "telephone_number": "901-487-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUMPHREYS CENTER DR STE 210",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202353",
            "telephone_number": "901-761-3900",
            "fax_number": "901-578-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "NICHOLAS",
        "middle_name": "GUY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-19",
        "last_updated": "2023-01-04",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.