Active NPI
Richard Evan Swift, PA-C
- Physician Assistant
- Germantown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2590
- Practice address
- 7945 Wolf River Blvd
Germantown, TN 38138-1762 - Phone
- (901) 683-0055
- Fax
- (901) 685-2969
- NPI assigned
- Jul 9, 2014
- Last updated
- Mar 14, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00219 | MS | |
| Physician Assistant | 363A00000X | 2590 | TN | Primary |
Addresses
Primary practice location
7945 Wolf River Blvd
Germantown, TN 38138-1762
Mailing address
7714 Poplar Ave Ste 200
Germantown, TN 38138-3941
Phone (901) 683-0055
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02150341 | Medicaid | MS | |
| Q008642 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@wcc.oncoemrdirect.com |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1588 Union Ave
Memphis, TN 38104-3729
Phone (901) 300-1562
7945 Wolf River Blvd
Germantown, TN 38138-1762
Phone (901) 683-0055
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.15 of 100
- Quality
- 83.22
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2590 | TN | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Clinic PC | Current | Accepting new patients | |
| Shelby County Health Care Corporation | Current | Accepting new patients | |
| Memphis and Shelby County Health Dept. | Past | Accepting new patients |
Locations
1588 Union Ave
Memphis, TN 38104
Phone (901) 276-2410
7714 Poplar Ave
Ste 200
Memphis, TN 38138
Phone (901) 322-9080
7945 Wolf River Blvd
Memphis, TN 38138
Phone (901) 448-7000
877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893
Interoperability endpoints
- admin@wcc.oncoemrdirect.com
Organizations & group practices 7
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.
-
- Specialist
- Germantown, TN
- NPI 1447276605
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
- Anatomic Pathology & Clinical Pathology Physician
- Memphis, TN
- NPI 1780685750
-
dba Regional One Health Pharmacy PCS Walnut Grove
- Clinic Pharmacy
- Memphis, TN
- NPI 1629542493
-
- Specialist
- Collierville, TN
- NPI 1023180478
-
- Family Medicine Physician
- Memphis, TN
- NPI 1073514055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1750797700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7714 POPLAR AVE STE 200",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383941",
"telephone_number": "901-683-0055",
"fax_number": "901-685-2969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7945 WOLF RIVER BLVD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381762",
"telephone_number": "901-683-0055",
"fax_number": "901-685-2969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWIFT",
"first_name": "RICHARD",
"middle_name": "EVAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-09",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MS",
"license": "PA00219",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "2590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02150341",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q008642",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@wcc.oncoemrdirect.com",
"affiliation": "N",
"address_1": "7945 Wolf River Blvd",
"city": "Germantown",
"state": "TN",
"country_code": "US",
"postal_code": "381381762",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.