Active NPI
Melissa Downs Reid, NP-C
- Gerontology Nurse Practitioner
- Germantown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 23044
- Practice address
- 8060 Wolf River Blvd
Germantown, TN 38138 - Phone
- (901) 271-1000
- Fax
- (901) 271-4187
- NPI assigned
- Sep 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 23044 | TN | Primary |
Addresses
Primary practice location
8060 Wolf River Blvd
Germantown, TN 38138
Mailing address
8060 Wolf River Blvd
Germantown, TN 38138-1727
Phone (901) 271-1000
Other practice location 1
1325 Eastmoreland Ave Ste 550
Memphis, TN 38104-7507
Phone (901) 726-0843
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q031229 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171212000657 | TN | Practitioner - Nurse Practitioner | 1951669431 | Reassigns benefits to 2 organizations |
| I20190403000057 | MS | Practitioner - Nurse Practitioner | 1951669431 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stern Cardiovascular Center, PAStern Cardiovascular Foundation, Inc
Practice addresses (Care Compare)
7362 Southcrest Pkwy
Southaven, MS 38671-4773
Phone (901) 271-1000
8060 Wolf River Blvd
Germantown, TN 38138-1727
Phone (901) 271-1000
Hospital & facility affiliations
- Baptist Memorial Hospital
- Methodist Hospitals of Memphis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23044 | TN | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stern Cardiovascular Foundation, Inc | Current | Accepting new patients | |
| Stern Cardiovascular Center, PA | Current | Accepting new patients |
Locations
200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631
100 Baptist Memorial Cir
Ste 201
Oxford, MS 38655
Phone (662) 574-5293
7362 Southcrest Pkwy
Southaven, MS 38671
Phone 90127110002272
391 Southcrest Cir
Ste 200
Southaven, MS 38671
Phone (662) 349-1900
8060 Wolf River Blvd
Memphis, TN 38138
Phone (901) 271-2272
Interoperability endpoints
- mreid30895@mlh.direct-ci.com
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Germantown, TN
- NPI 1699790311
MS, TN
-
- Cardiovascular Disease Physician
- Germantown, TN
- NPI 1316242266
MS, TN
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1669991998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8060 WOLF RIVER BLVD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381727",
"telephone_number": "901-271-1000",
"fax_number": "901-271-4187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8060 WOLF RIVER BLVD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "38138",
"telephone_number": "901-271-1000",
"fax_number": "901-271-4187"
}
],
"practiceLocations": [
{
"address_1": "1325 Eastmoreland Ave Ste 550",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381047507",
"country_code": "US",
"telephone_number": "901-726-0843",
"fax_number": "901-278-2695",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REID",
"first_name": "MELISSA",
"middle_name": "DOWNS",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TN",
"license": "23044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q031229",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.