M Nan Hawkes PHD Med Psych Group

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

M NAN HAWKES PHD MED PSYCH GROUP

Practice address

7655 Poplar Ave
#365
Germantown, TN 38138-3995

Phone

(901) 751-3571

Fax

(901) 751-3572

NPI assigned

Aug 10, 2006

Last updated

Mar 31, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Martha Nan Hawkes, PH.D.

Title

Owner/Sole Proprietor

Phone

(901) 751-3571

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Ivey Bright Jr., PHD

  • Clinical Neuropsychologist
  • Hendersonville, NC
  • NPI 1922098631
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1730190463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7655 POPLAR AVE",
            "address_2": "#365",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383957",
            "telephone_number": "901-751-3571",
            "fax_number": "901-751-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7655 POPLAR AVE",
            "address_2": "#365",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383995",
            "telephone_number": "901-751-3571",
            "fax_number": "901-751-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M NAN HAWKES PHD MED PSYCH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "HAWKES",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "NAN",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "901-751-3571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elkins Lunsford, AU.D.
• Richard Lewis Luscomb, PHD
• Britney Hanna Lynch, RPH
• Melanie Lynn, ATC
• Padma A. Lyons, D.D.S.
• Edward H Mabry Jr., MD
• Kempton Brock Macleod, RN
• Abdul-Hamid Madamidola
• Louis Alonzo Madden, ATC
• Holt Benjamin Maddux Jr., M.D.

• Clinical Neuropsychologist in Germantown, TN
• Providers in Germantown, TN by specialty
• Clinical Neuropsychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.