Individual provider Active NPI

Emily Kyle Logan, MSN, APRN

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1669009007
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000027176 Issued in TN
Practice address
1300 Wesley Dr
Memphis, TN 38116-6499
Phone
(901) 516-3700
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 226014 AR
Nurse Practitioner 363L00000X APN0000027176 TN Primary

Addresses

Primary practice location

1300 Wesley Dr
Memphis, TN 38116-6499

Mailing address

4806 Bakersfield Dr
Nesbit, MS 38651-6013
Phone (901) 490-7046

Other practice location 1

3960 New Covington Pike
Memphis, TN 38128-2589
Phone (901) 516-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200519000194 TN Practitioner - Nurse Practitioner 7810328242 Reassigns benefits to 10 organizations
I20240209000247 MS Practitioner - Nurse Practitioner 7810328242 Reassigns benefits to 3 organizations
I20240415000682 AR Practitioner - Nurse Practitioner 7810328242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

200 Hwy 30 W
New Albany, MS 38652-3112
Phone (601) 538-2591

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
34331TNMDPharmacist
226014ARMDNurse Practitioner
APN0000027176TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist South Emergency Physicians, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Emergency Coverage, LLC Nurse Practitioner CurrentSince May 1, 2024 Accepting new patients
Germantown Emergency Physicians, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Mar 5, 2024 Accepting new patients
Methodist University Emergency Physicians PLLC CurrentSince Jan 1, 2024 Accepting new patients
Emergency Coverage Services, PC Nurse Practitioner CurrentSince Mar 12, 2024 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Aug 15, 2024 Accepting new patients
Olive Branch Emergency Physicians LLC CurrentSince Jan 1, 2024 Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Jan 23, 2024 Accepting new patients
Methodist North Emergency Physicians, PLLC CurrentSince Jan 1, 2024 Accepting new patients
T M Carr MD PC Nurse Practitioner CurrentSince May 8, 2020 Accepting new patients
Carr PLLC CurrentSince Aug 1, 2020 Accepting new patients

Locations

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: elogan25842@mlh.direct-ci.com

Organizations & group practices 12

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1669009007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4806 BAKERSFIELD DR",
            "city": "NESBIT",
            "state": "MS",
            "postal_code": "386516013",
            "telephone_number": "901-490-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WESLEY DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166499",
            "telephone_number": "901-516-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3960 New Covington Pike",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381282589",
            "country_code": "US",
            "telephone_number": "901-516-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "EMILY",
        "middle_name": "KYLE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "226014",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000027176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.