Individual provider Active NPI

Joseph Keith Lawrence, M.D.

  • Obstetrics Physician
  • Memphis, TN
National Provider Identifier
1669575064
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
MD0000016111 Issued in TN
Practice address
360 E Eh Crump Blvd
Memphis, TN 38126-5310
Phone
(901) 261-2046
Fax
(901) 946-9262
NPI assigned
Sep 7, 2006
Last updated
Apr 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X MD0000016111 TN Primary

Addresses

Primary practice location

360 E Eh Crump Blvd
Memphis, TN 38126-5310

Mailing address

360 E Eh Crump Blvd
Memphis, TN 38126-5310
Phone (901) 261-2046

Other identifiers 2

IdentifierTypeStateIssuer
3077342MedicaidTN
1669575064OtherNPI

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
I20040610001093 TN Practitioner - Obstetrics/Gynecology 5991788994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Meharry Medical College School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Tennessee Medical Group IncGroup PAC ID 3971781006, 190 clinicians
WT Medical AssociatesGroup PAC ID 1951650613, shared by 5 NPIs, 64 clinicians

Practice addresses (Care Compare)

1720 Woodlawn Ave
Dyersburg, TN 38024-1300
Phone (731) 421-6510

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000016111TNMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Health Center, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Memphis Health Center, Inc. CurrentSince Oct 1, 2019 Accepting new patients
OB GYN Centers of Memphis,Mpllc CurrentSince Apr 1, 1999 Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
Baptist Memorial Hospital Past Accepting new patients

Locations

1264 Wesley Dr
Ste 402
Memphis, TN 38116
Phone (901) 396-5577

360 E Eh Crump Blvd
Memphis, TN 38126
Phone (901) 261-2000

Interoperability endpoints

  • Direct secure messaging: jlawrence27460@mlh.direct-ci.com
  • Direct secure messaging: joseph.lawrence.1@20250.direct.athenahealth.com
  • Direct secure messaging: joseph.lawrence.p1@direct.mphshc.nextgenshare.com

Organizations & group practices 6

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1669575064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E EH CRUMP BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381265310",
            "telephone_number": "901-261-2046",
            "fax_number": "901-946-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E EH CRUMP BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381265310",
            "telephone_number": "901-261-2046",
            "fax_number": "901-946-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "JOSEPH",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TN",
            "license": "MD0000016111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3077342",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669575064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.