Active NPI
Endocrinology and Diabetes Specialists, LLC
- Endocrinology, Diabetes & Metabolism Physician
- Germantown, TN
National Provider Identifier
1730449232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- ENDOCRINOLOGY AND DIABETES SPECIALISTS, LLC
- Practice address
- 7796 Wolf Trail CV Ste 201
Germantown, TN 38138-1781 - Phone
- (901) 348-6487
- Fax
- (901) 791-0338
- NPI assigned
- May 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pam Alexander
- Title
- Administrator
- Phone
- (901) 756-5565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
7796 Wolf Trail CV Ste 201
Germantown, TN 38138-1781
Mailing address
PO Box 2044 Dept 6000
Memphis, TN 38101-2022
Phone (901) 348-6487
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4327373 | Other | TN | BCBS |
| DS8846 | Other | TN | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
7796 Wolf Trail Cv
Ste 201
Germantown, TN 38138
Phone (901) 348-6487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354492800000",
"number": "1730449232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2044 DEPT 6000",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381012022",
"telephone_number": "901-348-6487",
"fax_number": "901-791-0338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7796 WOLF TRAIL CV STE 201",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381781",
"telephone_number": "901-348-6487",
"fax_number": "901-791-0338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDOCRINOLOGY AND DIABETES SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-18",
"last_updated": "2012-12-03",
"status": "A",
"authorized_official_last_name": "ALEXANDER",
"authorized_official_first_name": "PAM",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "901-756-5565"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4327373",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DS8846",
"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 Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.