Organization Active NPI

Endocrinology and Diabetes Specialists, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Germantown, TN
National Provider Identifier
1730449232
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
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

Updated by the provider on Dec 3, 2012

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)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4327373OtherTNBCBS
DS8846OtherTNRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.