Active NPI
Saundra Gail Homan, FNP
- Family Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ANP0000022689
- Practice address
- 6490 Mount Moriah Road Ext Ste 200
Memphis, TN 38115-3841 - Phone
- (901) 565-0244
- Fax
- (901) 565-0616
- NPI assigned
- Jul 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ANP0000022689 | TN | Primary |
Addresses
Primary practice location
6490 Mount Moriah Road Ext Ste 200
Memphis, TN 38115-3841
Mailing address
6490 Mount Moriah Road Ext Ste 200
Memphis, TN 38115-3841
Phone (901) 565-0244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, MS, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241016000373 | AR | Practitioner - Nurse Practitioner | 6507398526 | Reassigns benefits to 1 organization |
| I20241023000019 | MS | Practitioner - Nurse Practitioner | 6507398526 | Reassigns benefits to 1 organization |
| I20250306000294 | TN | Practitioner - Nurse Practitioner | 6507398526 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mid-South Nephrology Consultants PLLC
Practice addresses (Care Compare)
310 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 565-0244
6490 Mount Moriah Rd Ext
Suite 200
Memphis, TN 38115-3841
Phone (901) 565-0244
7318 Southcrest Pkwy
Southaven, MS 38671-4773
Phone (901) 565-0244
Hospital & facility affiliations
- Baptist Memorial Hospital Desoto
- Highland Hills Medical Center
- Forrest City Medical Center
- Methodist Healthcare - Olive Branch Hospital
- Baptist Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ANP0000022689 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Nephrology Consultants PLLC | Current | Accepting new patients | |
| Mittal Kidney and Dialysis | Past | Accepting new patients | |
| Mittal Kidney and Dialysis PC | Past | Accepting new patients |
Locations
902 Holiday Dr
Ste 106
Forrest City, AR 72335
Phone (870) 494-3025
310 S Rhodes St
West Memphis, AR 72301
Phone (870) 735-5445
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
7318 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-2548
6490 Mount Moriah Road Ext
Ste 200
Memphis, TN 38115
Interoperability endpoints
- shoman61639@direct.acumenmd.com
- https://fhir4.healow.com/fhir/r4/GCFDAA
Organizations & group practices 3
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.
-
- Adult Health Clinical Nurse Specialist
- Cordova, TN
- NPI 1750835724
-
- Nephrology Physician
- Cordova, TN
- NPI 1831201466
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
Hospital
-
- General Acute Care Hospital
- Forrest City, AR
- NPI 1811912009
Hospital
-
- General Acute Care Hospital
- Olive Branch, MS
- NPI 1912341439
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1780107219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6490 MOUNT MORIAH ROAD EXT STE 200",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381153841",
"telephone_number": "901-565-0244",
"fax_number": "901-565-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6490 MOUNT MORIAH ROAD EXT STE 200",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381153841",
"telephone_number": "901-565-0244",
"fax_number": "901-565-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMAN",
"first_name": "SAUNDRA",
"middle_name": "GAIL",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-17",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "ANP0000022689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.