Individual provider Active NPI

Joseph A Blythe, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Memphis, TN
National Provider Identifier
1689665903
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
7632 Issued in TN
Practice address
3557 S Galloway Dr
Memphis, TN 38111-6816
Phone
(901) 371-6666
Fax
(901) 324-6355
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 7632 TN
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 7632 TN Primary

Addresses

Primary practice location

3557 S Galloway Dr
Memphis, TN 38111-6816

Mailing address

3557 S Galloway Dr
Memphis, TN 38111-6816
Phone (901) 371-6666

Other identifiers 1

IdentifierTypeStateIssuer
3178722MedicaidTN

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
I20060504000886 TN Practitioner - General PracticePractitioner - Hospice/Palliative CarePractitioner - Other (Physician) 3678583663 Reassigns benefits to 2 organizations
Practice locations: Memphis, TN

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7632TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Healthcare Community Care Associates CurrentSince Apr 10, 2017 Accepting new patients
Methodist Specialty Physicians, LLC Hospice and Palliative Medicine CurrentSince Nov 1, 2006 Accepting new patients
Blythe Medical Services Pulmonary Disease PastSince Mar 30, 2010 Accepting new patients

Locations

8035 Club Pkwy
Cordova, TN 38016
Phone (901) 758-6035

8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001

6400 Shelby View Dr
Ste 101
Memphis, TN 38134
Phone (901) 516-1489

Organizations & group practices 3

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1689665903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3557 S GALLOWAY DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381116816",
            "telephone_number": "901-371-6666",
            "fax_number": "901-324-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3557 S GALLOWAY DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381116816",
            "telephone_number": "901-371-6666",
            "fax_number": "901-324-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLYTHE",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "7632",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TN",
            "license": "7632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3178722",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.