Individual provider Active NPI

Porsha Tellis

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1801686894
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
38720 Issued in TN
Practice address
6005 Park Ave Ste 500B
Memphis, TN 38119-5215
Phone
(901) 683-6925
Fax
(901) 684-1435
NPI assigned
May 12, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 38720 TN Primary

Addresses

Primary practice location

6005 Park Ave Ste 500B
Memphis, TN 38119-5215

Mailing address

PO Box 22403
Belfast, ME 04915-4476
Phone (888) 402-7256

Other practice location 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250528003914 TN Practitioner - Nurse Practitioner 4385163740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Francis Physician Network, LLCGroup PAC ID 2365701943, 74 clinicians

Practice addresses (Care Compare)

6005 Park Ave
Memphis, TN 38119-5215
Phone (901) 683-6925

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Physician Network, LLC CurrentSince May 19, 2025 Accepting new patients
Healthcare Network Tennessee, Inc. CurrentSince Jun 23, 2025 Accepting new patients

Locations

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

6005 Park Ave
Ste 500B
Memphis, TN 38119

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

Interoperability endpoints

  • Direct secure messaging: porsha.tellis.1@16700.direct.athenahealth.com

Organizations & group practices 2

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 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": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1801686894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22403",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154476",
            "telephone_number": "888-402-7256",
            "fax_number": "888-902-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 500B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195215",
            "telephone_number": "901-683-6925",
            "fax_number": "901-684-1435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5959 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381195200",
            "country_code": "US",
            "telephone_number": "901-765-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELLIS",
        "first_name": "PORSHA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "38720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.