Individual provider Active NPI

Luella Grigg Churchwell, MD

  • Clinical & Laboratory Dermatological Immunology Physician
  • Germantown, TN
National Provider Identifier
1659360352
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Dermatological Immunology PhysicianTaxonomy code 207NI0002X
License
MD18578 Issued in TN
Practice address
1335 Cordova CV
Germantown, TN 38138-2200
Phone
(901) 753-2794
Fax
(901) 753-8876
NPI assigned
Oct 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X MD18578 TN Primary

Addresses

Primary practice location

1335 Cordova CV
Germantown, TN 38138-2200

Mailing address

1335 Cordova CV
Germantown, TN 38138-2200
Phone (901) 753-2794

Other identifiers 2

IdentifierTypeStateIssuer
3068672MedicaidTN
3018898OtherTNBCBS

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
I20110701000141 TN Practitioner - Dermatology 5698953123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Tennessee, HSC, College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology East ,P.L.L.C.Group PAC ID 6709054950, 2 clinicians

Practice addresses (Care Compare)

1335 Cordova CV
Germantown, TN 38138-2200
Phone (901) 753-2794

Merit-based Incentive Payment System (MIPS)

Final score
92.21 of 100Reported as group
Quality
89.5
Promoting interoperability
95
Improvement activities
40
Cost
88.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1196
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy253

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD18578TNMDClinical & Laboratory Dermatological Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology East ,P.L.L.C. Clinical & Laboratory Dermatological Immunology CurrentSince May 1, 1995 Accepting new patients

Locations

1335 Cordova Cv
Germantown, TN 38138
Phone (901) 753-2784

Organizations & group practices 1

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659360352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 CORDOVA CV",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382200",
            "telephone_number": "901-753-2794",
            "fax_number": "901-753-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 CORDOVA CV",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382200",
            "telephone_number": "901-753-2794",
            "fax_number": "901-753-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCHWELL",
        "first_name": "LUELLA",
        "middle_name": "GRIGG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2026-07-13",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "TN",
            "license": "MD18578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3068672",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3018898",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.