Greater Memphis Mobile Medical, LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

MD16093 Issued in TN

Legal business name

GREATER MEMPHIS MOBILE MEDICAL, LLC

Practice address

5225 Glynbourne PL
Memphis, TN 38117-4564

Phone

(901) 685-5231

NPI assigned

Nov 3, 2008

Organization subpart

No

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

Authorized official

Name

Avelino G Reyes, M.D.

Title

Owner

Phone

(901) 685-5231

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1780837724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 GLYNBOURNE PL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174564",
            "telephone_number": "901-685-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 GLYNBOURNE PL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174564",
            "telephone_number": "901-685-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MEMPHIS MOBILE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "AVELINO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-685-5231",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TN",
            "license": "MD16093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arturas Grazulis, M.D.
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• Greater Memphis EMS
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• Terry Keith Grebe, MD
• Aaron Greear, PT
• Jodie L Greear, MS, RD, LDN
• Green Clinic P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.