Individual provider Active NPI

Felicia Ann Thompson Coburn, NP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1760804355
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000018928 Issued in TN
Practice address
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone
(901) 701-5825
Fax
(901) 767-6591
NPI assigned
Jan 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18928 TN
Family Nurse Practitioner 363LF0000X 209010853 IL
Family Nurse Practitioner 363LF0000X 0000018928 TN Primary

Addresses

Primary practice location

6019 Walnut Grove Rd
Memphis, TN 38120-2113

Mailing address

8243 Holston Dr
Memphis, TN 38125-3982
Phone (901) 483-2550

Other practice location 1

977 N Oaklawn Ave
Suite 104
Elmhurst, IL 60126-1045
Phone (630) 832-1775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TN, MS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140521000966 IL Practitioner - Nurse Practitioner 5092938043 Reassigns benefits to 1 organization
I20141202001291 TN Practitioner - Nurse Practitioner 5092938043 Reassigns benefits to 6 organizations
I20150428000425 MS Practitioner - Nurse Practitioner 5092938043 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Providers of America LLCGroup PAC ID 9931529948, 97 clinicians
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians
Greenbrook Physician Services, LLCGroup PAC ID 5597267427, 70 clinicians

Practice addresses (Care Compare)

141 N McLean Blvd
Memphis, TN 38104-2693
Phone (901) 276-2021

1730 Dorchester Dr
Southaven, MS 38671-5723
Phone (662) 393-0050

5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-1000

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-4000

Hospital & facility affiliations

  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
71.04
Promoting interoperability
100
Improvement activities
40
Cost
81.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0000018928TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Oct 28, 2024 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Sep 20, 2016 Accepting new patients
Generational Health of Tennessee CurrentSince Oct 1, 2025 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Jul 19, 2024 Accepting new patients
Health Providers of America, LLC CurrentSince Oct 31, 2024 Accepting new patients
American Current Care PA CurrentSince Oct 28, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 1, 2021 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Greenbrook Physician Services, LLC CurrentSince Jan 1, 2026 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Southeastern Physician Services PC CurrentSince Jul 16, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 1, 2021 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Sep 20, 2016 Accepting new patients
Memphis Lung Physicians, P.C. Past Accepting new patients
Paragon Clinical LLC Family PastSince Sep 4, 2012 Accepting new patients

Locations

55 W Cermak Rd
Chicago, IL 60616
Phone (312) 326-4472

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1628 W Washington Blvd
Chicago, IL 60612
Phone (312) 355-7560

111 Chase St
Byhalia, MS 38611
Phone (662) 252-1141

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

1730 Dorchester Dr
Southaven, MS 38671
Phone (662) 226-2442

6413 Lee Hwy
Ste 107
Chattanooga, TN 37421
Phone (423) 225-3358

3685 S Houston Levee Rd
Collierville, TN 38017
Phone (901) 457-2933

200 Sanitarium Cir
Dayton, TN 37321
Phone (423) 775-0771

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

141 N McLean Blvd
Memphis, TN 38104
Phone (901) 276-2020

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

611 Commerce St
Ste 2611
Nashville, TN 37203
Phone (615) 270-6505

7400 Highway 64
Oakland, TN 38060
Phone (901) 424-0346

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

1441 N Cockrell Hill Rd
#101
Dallas, TX 75211
Phone (972) 460-0565

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1760804355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8243 HOLSTON DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381253982",
            "telephone_number": "901-483-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 WALNUT GROVE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202113",
            "telephone_number": "901-701-5825",
            "fax_number": "901-767-6591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "977 N Oaklawn Ave",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "601261045",
            "country_code": "US",
            "telephone_number": "630-832-1775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON COBURN",
        "first_name": "FELICIA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18928",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010853",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000018928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.