Individual provider Active NPI

Louis G Talbert, M.D.

  • Internal Medicine Physician
  • Germantown, TN
National Provider Identifier
1659483949
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD016704 Issued in TN
Practice address
7550 Wolf River Blvd
# 102
Germantown, TN 38138-1780
Phone
(901) 767-5000
Fax
(901) 767-6000
NPI assigned
Aug 31, 2006
Last updated
Sep 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD016704 TN Primary
Internal Medicine Physician 207R00000X 12425 MS
Internal Medicine Physician 207R00000X 45058 VA

Addresses

Primary practice location

7550 Wolf River Blvd
# 102
Germantown, TN 38138-1780

Mailing address

7550 Wolf River Blvd
Suite 102
Germantown, TN 38138-1780
Phone (901) 767-5000

Other identifiers 1

IdentifierTypeStateIssuer
01108755MedicaidTN

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
I20100714000005 TN Practitioner - Internal Medicine 7719019686 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12425MSMDInternal Medicine Physician
MD016704TNMDInternal Medicine Physician
45058VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Internal Medicine Specialists, P.C. Internal Medicine CurrentSince Jan 1, 2002 Accepting new patients

Locations

7550 Wolf River Blvd
Ste 102
Germantown, TN 38138
Phone (901) 767-5000

6027 Walnut Grove Rd
Ste 206
Memphis, TN 38120
Phone (901) 226-5151

Interoperability endpoints

  • Direct secure messaging: ltalbert29910@mlh.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1659483949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 WOLF RIVER BLVD",
            "address_2": "SUITE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381780",
            "telephone_number": "901-767-5000",
            "fax_number": "901-767-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 WOLF RIVER BLVD",
            "address_2": "# 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381780",
            "telephone_number": "901-767-5000",
            "fax_number": "901-767-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBERT",
        "first_name": "LOUIS",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD016704",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "12425",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "45058",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01108755",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.