Individual provider Active NPI

Emmel B. Golden Jr., M.D.

  • Pulmonary Disease Physician
  • Germantown, TN
National Provider Identifier
1669478103
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD9636 Issued in TN
Practice address
2120 Exeter Rd Ste 250
Germantown, TN 38138-3931
Phone
(901) 767-5864
Fax
(901) 767-6591
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD9636 TN
Pulmonary Disease Physician 207RP1001X 15273 MS
Pulmonary Disease Physician 207RP1001X MD9636 TN Primary

Addresses

Primary practice location

2120 Exeter Rd Ste 250
Germantown, TN 38138-3931

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401

Other practice location 1

6025 Walnut Grove Rd
Ste 508
Memphis, TN 38120-2125
Phone (901) 767-5864

Other practice location 2

401 Southcrest Cir Ste 212
Southaven, MS 38671-6721
Phone (662) 349-0488

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
I20050715000726 TN Practitioner - Pulmonary Disease 9638105125 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9636TNMDGeneral Practice Dentistry
MD9636TNMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Lung Physicians, P.C. Pulmonary Disease CurrentSince Oct 2, 2022 Accepting new patients
Baptist Memorial Hospital CurrentSince Nov 1, 1993 Accepting new patients
Baptist Memorial Hospital CurrentSince Nov 1, 1993 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

401 Southcrest Cir
Southaven, MS 38671
Phone (601) 349-0488

363 Southcrest Cir
Ste 201
Southaven, MS 38671
Phone (662) 349-0488

401 Southcrest Cir
Ste 212
Southaven, MS 38671
Phone (662) 245-5270

1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140

2120 Exeter Rd
Ste 250
Memphis, TN 38138
Phone (901) 767-5864

910 Madison Ave
Ste 608
Memphis, TN 38103
Phone (901) 448-6476

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

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

6025 Walnut Grove Rd
Ste 508
Memphis, TN 38120
Phone (901) 767-5864

Organizations & group practices 4

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1669478103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 EXETER RD STE 250",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383931",
            "telephone_number": "901-767-5864",
            "fax_number": "901-767-6591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6025 Walnut Grove Rd",
            "address_2": "Ste 508",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202125",
            "country_code": "US",
            "telephone_number": "901-767-5864",
            "fax_number": "901-767-6591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Southcrest Cir Ste 212",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386716721",
            "country_code": "US",
            "telephone_number": "662-349-0488",
            "fax_number": "662-349-5974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "EMMEL",
        "middle_name": "B.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "MD9636",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MS",
            "license": "15273",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "MD9636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.