Organization Active NPI

Twyla M Twillie MD

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1720150949
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
021752 Issued in TN
Legal business name
TWYLA M TWILLIE MD
Practice address
4131 Kirby Pkwy Ste 1
Memphis, TN 38115-6500
Phone
(901) 368-6883
Fax
(901) 368-1803
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Twyla M Twillie, MD
Title
Owner
Phone
(901) 368-6883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 021752 TN Primary

Addresses

Primary practice location

4131 Kirby Pkwy Ste 1
Memphis, TN 38115-6500

Mailing address

103B Southpointe
Edwardsville, IL 62025-3651
Phone (618) 692-9640

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720150949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103B SOUTHPOINTE",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253651",
            "telephone_number": "618-692-9640",
            "fax_number": "618-692-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 KIRBY PKWY STE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381156500",
            "telephone_number": "901-368-6883",
            "fax_number": "901-368-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWYLA M TWILLIE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TWILLIE",
        "authorized_official_first_name": "TWYLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-368-6883",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "021752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.