Bluff Medical Group

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BLUFF MEDICAL GROUP

Practice address

1779 Kirby Parkway
Suite 1-212
Germantown, TN 38138

Phone

(901) 319-0743

Fax

(901) 329-7792

NPI assigned

Oct 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Stella Nwokeji, PH.D., NP-C

Title

Owner

Phone

(901) 319-0743

Specialties & licenses 1

Addresses

Other names 1

• Bluff Medical Group Other name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1790382281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17667",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381870667",
            "telephone_number": "901-319-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 KIRBY PARKWAY",
            "address_2": "SUITE 1-212",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-319-0743",
            "fax_number": "901-329-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFF MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "NWOKEJI",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-319-0743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@netplusclinicians.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6575 Quail Pointe Cir S",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381201332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bluff Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bluff Medical Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bluff Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joseph Patrick Blankinship Jr., M.D.
• BLC Southerland Place - Germantown, LLC
• Christen Bloomer, PT, DPT
• Bluff City Obstetrics and Gynecology
• Bluff City PT LLC
• Christopher A Boals, MD
• James W Boals Jr., MD
• Jennifer R Boals, MD
• Tamunoinemi Disrael Bob-Manuel, M.D
• Gerald W. Bock, M.D.

• Family Nurse Practitioner in Germantown, TN
• Providers in Germantown, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.