Primary Care Specialists

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMARY CARE SPECIALISTS

Practice address

3109 Walnut Grove Road
Memphis, TN 38111-3509

Phone

(901) 515-4842

Fax

(901) 458-0405

NPI assigned

Nov 6, 2006

Last updated

Jan 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Ellen Jensen

Title

Office Manager

Phone

(901) 567-3414

Specialties & licenses 1

Addresses

Other identifiers 2

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/036f7da9-ca9c-4c26-bc90-ad8f4c7667ec/

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ikechukwu Emereuwaonu, M.D

  • Family Medicine Physician
  • Cordova, TN
  • NPI 1164664066
  NPD

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1760551832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1726",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381011726",
            "telephone_number": "901-515-4842",
            "fax_number": "901-458-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 WALNUT GROVE ROAD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381113509",
            "telephone_number": "901-515-4842",
            "fax_number": "901-458-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "MARY ELLEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "901-567-3414"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEM",
            "identifier": "0966550001",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3703214",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Rayford Priester III, DDS
• Gina L Prigoff, PHD
• Primacy Medical Services P.C.
• Primary Care Group LLC
• Primary Care Link LLC
• Primary Healthcare Management LLC
• Prime Medical Group, PC
• Primus Medical Group PC
• Jacqueline Olivia Prince Griffin
• Patricia Elizabeth Prince-Griffin, M.S.

• Family Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.