Individual provider Active NPI

Amber Graham

  • Physical Medicine & Rehabilitation Physician
  • Memphis, TN
National Provider Identifier
1679849483
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
54210 Issued in TN
Practice address
6325 Humphreys Blvd
Memphis, TN 38120-2300
Phone
(901) 522-7700
NPI assigned
Mar 26, 2012
Last updated
Sep 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 54210 TN Primary

Addresses

Primary practice location

6325 Humphreys Blvd
Memphis, TN 38120-2300

Mailing address

1131 Victoria CV
Collierville, TN 38017-6169
Phone (901) 413-0528

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
I20160628002858 TN Practitioner - Physical Medicine and Rehabilitation 9830326578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Semmes-Murphey Clinic PCGroup PAC ID 1254235914, 66 clinicians

Practice addresses (Care Compare)

1785 Nonconnah Blvd
Suite 108
Memphis, TN 38132-2139
Phone (901) 344-0101

6325 Humphreys Blvd
Memphis, TN 38120-2300
Phone (901) 522-7700

9950 Crooked Creek Rd
Collierville, TN 38017-0881
Phone (901) 522-7700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.8 of 100Reported as group
Quality
67.04
Promoting interoperability
100
Improvement activities
40
Cost
75.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54210TNMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Semmes-Murphey Clinic PC Physical Medicine & Rehabilitation CurrentSince Jul 1, 2016 Accepting new patients
Semmes-Murphey Clinic PC Current Accepting new patients

Locations

6011 Airline Rd
Ste 102
Arlington, TN 38002
Phone (901) 557-7077

9950 Crooked Creek Rd
Collierville, TN 38017
Phone (662) 822-3298

6325 Humphreys Blvd
Memphis, TN 38120
Phone (901) 522-7739

Interoperability endpoints

  • Direct secure messaging: amber.graham.1@28653.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1679849483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 VICTORIA CV",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380176169",
            "telephone_number": "901-413-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202300",
            "telephone_number": "901-522-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "54210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.