Individual provider Active NPI

Saundra Gail Homan, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1780107219
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ANP0000022689 Issued in TN
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

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, TN3 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
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 14 clinicians

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 Hospital, Southaven, MS, CCN 250141
  • Highland Hills Medical Center Hospital, Senatobia, MS, CCN 250172
  • Forrest City Medical Center Hospital, Forrest City, AR, CCN 040019
  • Methodist Healthcare - Olive Branch Hospital Hospital, Olive Branch, MS, CCN 250167
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ANP0000022689TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Nephrology Consultants PLLC CurrentSince Aug 3, 2024 Accepting new patients
Mittal Kidney and Dialysis PastSince Jul 1, 2022 Accepting new patients
Mittal Kidney and Dialysis PC PastSince Jul 1, 2022 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

  • Direct secure messaging: shoman61639@direct.acumenmd.com
  • FHIR API: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.