Individual provider Active NPI

Emily Pierce Balducci

  • Physician Assistant
  • Memphis, TN
National Provider Identifier
1760114623
Registry record updated Mar 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
969 Frayser Blvd
Memphis, TN 38127-5977
Phone
(901) 842-3162
NPI assigned
Jun 29, 2022
Last updated
Mar 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

969 Frayser Blvd
Memphis, TN 38127-5977

Mailing address

969 Frayser Blvd
Memphis, TN 38127-5977
Phone (901) 842-3162

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241015003338 TN Practitioner - Physician Assistant 3274065255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3362 S 3Rd St
Memphis, TN 38109-2944
Phone (901) 271-6300

3481 Austin Peay Hwy
Memphis, TN 38128-3801
Phone (901) 701-2570

969 Frayser Blvd
Memphis, TN 38127-5977
Phone (901) 260-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6127TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Community Health Services, Inc CurrentSince Sep 24, 2024 Accepting new patients
Christ Community Health Services Inc CurrentSince Sep 24, 2024 Accepting new patients
Christ Community Health Services Inc Past Accepting new patients
Christ Community Health Services Inc Past Accepting new patients

Locations

1325 Jefferson Ave
Memphis, TN 38104
Phone (901) 701-2530

2569 Douglass Ave
Memphis, TN 38114
Phone (901) 271-6200

2670 Union Avenue Ext
Ste 1000
Memphis, TN 38112
Phone (901) 842-3160

2861 Broad Ave
Memphis, TN 38112
Phone (901) 260-8500

3362 S 3rd St
Memphis, TN 38109
Phone (901) 271-6300

3481 Austin Peay Hwy
Memphis, TN 38128
Phone (901) 701-2570

5366 Mendenhall Mall
Memphis, TN 38115
Phone (901) 271-6100

969 Frayser Blvd
Memphis, TN 38127
Phone (901) 260-8400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJCIAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJJDAA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742601600000",
    "number": "1760114623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 FRAYSER BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381275977",
            "telephone_number": "901-842-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 FRAYSER BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381275977",
            "telephone_number": "901-842-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDUCCI",
        "first_name": "EMILY",
        "middle_name": "PIERCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.