Memphis Multi Specialty Associates,LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35471 Issued in TN

Legal business name

MEMPHIS MULTI SPECIALTY ASSOCIATES,LLC

Practice address

2900 Kirby Rd Ste 5
Memphis, TN 38119-8205

Phone

(901) 369-6000

NPI assigned

Aug 12, 2008

Organization subpart

No

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

Authorized official

Name

Imran Mirza, MDNPI 1679599922

Title

Owner

Phone

(901) 384-9920

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Imran Mirza, MD

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1679599922
  Medicare reassignment Care Compare group NPD Authorized official
• Juana Adkins Reese, NP-C

  • Nurse Practitioner
  • Collierville, TN
  • NPI 1760401426
  Medicare reassignment Care Compare group NPD
• Lauren Reilly, CRNP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1023427952
  Medicare reassignment Care Compare group NPD
• Kayla Smith, FNP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1922611854
  Medicare reassignment Care Compare group NPD
• Mordecia Dickenson, MSN, FNP-BC

  • Family Nurse Practitioner
  • Bartlett, TN
  • NPI 1629413091
  Medicare reassignment NPD
• Elizabeth Janine Williams, FNP-C

  • Family Nurse Practitioner
  • Collierville, TN
  • NPI 1225542723
  Medicare reassignment NPD
• Kelly N Scott, FNP

  • Nurse Practitioner
  • Memphis, TN
  • NPI 1659761609
  NPD (past)

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1669628467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7865 EDUCATORS LN",
            "address_2": "SUITE 110",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381338191",
            "telephone_number": "901-384-9920",
            "fax_number": "901-937-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 KIRBY RD STE 5",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198205",
            "telephone_number": "901-369-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3960 Knight Arnold Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381183001",
            "country_code": "US",
            "telephone_number": "901-369-6000",
            "fax_number": "901-369-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEMPHIS MULTI SPECIALTY ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-384-9920",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "35471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.