Individual provider Active NPI

Juana Adkins Reese, NP-C

  • Nurse Practitioner
  • Collierville, TN
National Provider Identifier
1760401426
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
13864 Issued in TN
Practice address
346 New Byhalia Rd Ste 3
Unique Medical Center
Collierville, TN 38017-3741
Phone
(901) 853-1734
Fax
(901) 854-1166
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 13864 TN Primary

Addresses

Primary practice location

346 New Byhalia Rd Ste 3
Unique Medical Center
Collierville, TN 38017-3741

Mailing address

PO Box 2197
Memphis, TN 38101-2197
Phone (901) 860-8909

Other identifiers 2

IdentifierTypeStateIssuer
P00328806OtherMSRAILROAD MEDICARE
06428011MedicaidMS

Other names 1

  • Juana Q Adkins Former name

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
I20090708000806 TN Practitioner - Nurse Practitioner 6406861673 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Multi Specialty Associates,LLCGroup PAC ID 5395052443, 4 clinicians
DMC-Memphis LLCGroup PAC ID 0143121186, 3 clinicians
Crestwyn Health Group, LLCGroup PAC ID 5799084984, 6 clinicians

Practice addresses (Care Compare)

2900 Kirby Rd
Suite 5
Memphis, TN 38119-8205
Phone (901) 369-6000

3000 Getwell Rd
Memphis, TN 38118-2205
Phone (901) 369-8160

9485 Crestwyn Hills CV
Memphis, TN 38125-8515
Phone (901) 248-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13864TNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Primary Care Specialists CurrentSince Apr 10, 2024 Accepting new patients
DMC-Memphis, LLC CurrentSince Feb 24, 2020 Accepting new patients
Memphis Multi Specialty Associates,LLC CurrentSince Apr 13, 2024 Accepting new patients
DMC-Memphis, LLC CurrentSince Feb 24, 2020 Accepting new patients
Memphis Primary Care Specialists CurrentSince Apr 10, 2024 Accepting new patients
T M Carr MD PC Nurse Practitioner Past Accepting new patients

Locations

2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000

3960 Knight Arnold Rd
Ste 108
Memphis, TN 38118
Phone (901) 369-6000

3000 Getwell Rd
Memphis, TN 38118
Phone (901) 369-8100

3055 Watson St
Memphis, TN 38118
Phone (901) 369-4900

2900 Kirby Rd
Ste 5
Memphis, TN 38119
Phone (901) 309-8898

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: juana.reese.p1@direct.luncefordfamily.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1760401426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2197",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381012197",
            "telephone_number": "901-860-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 NEW BYHALIA RD STE 3",
            "address_2": "UNIQUE MEDICAL CENTER",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380173741",
            "telephone_number": "901-853-1734",
            "fax_number": "901-854-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "JUANA",
        "middle_name": "ADKINS",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "13864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00328806",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06428011",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUANA",
            "last_name": "ADKINS",
            "middle_name": "Q",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Collierville, TN

Sources for this page

Verify at the official NPI Registry.