Individual provider Active NPI

Miriam Abigail Wood

  • Physician Assistant
  • Memphis, TN
National Provider Identifier
1811752439
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5879 Issued in TN
Practice address
2747 Kirby Rd
Memphis, TN 38119-8236
Phone
(901) 203-0750
NPI assigned
Feb 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5879 TN Primary

Addresses

Primary practice location

2747 Kirby Rd
Memphis, TN 38119-8236

Mailing address

PO Box 306244
Nashville, TN 37230-6244

Other practice location 1

1717 Kirby Pkwy
Memphis, TN 38120-4331
Phone (901) 296-9400

Other practice location 2

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

Other practice location 3

2986 Kate Bond Rd
Bartlett, TN 38133-4003
Phone (901) 765-1000

Other practice location 4

1417 Monroe Ave
Memphis, TN 38104-3634
Phone (901) 296-9400

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
I20240320002790 TN Practitioner - Physician Assistant 9335586791 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
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)

1417 Monroe Ave
Memphis, TN 38104-3634
Phone (901) 236-0508

1717 Kirby Pkwy
Memphis, TN 38120-4331
Phone (901) 272-7200

6005 Park Ave
Suite 601
Memphis, TN 38119-5216
Phone (901) 680-9205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5879TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 23, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 23, 2024 Accepting new patients
Healthcare Network Tennessee, Inc. PastSince Oct 25, 2020 Accepting new patients

Locations

2747 Kirby Rd
Memphis, TN 38119
Phone (901) 203-0750

Interoperability endpoints

  • Direct secure messaging: miriam.wood.1@16700.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1811752439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306244",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 KIRBY RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198236",
            "telephone_number": "901-203-0750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 Kirby Pkwy",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381204331",
            "country_code": "US",
            "telephone_number": "901-296-9400",
            "fax_number": "901-272-0820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5959 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381195200",
            "country_code": "US",
            "telephone_number": "901-765-1000",
            "fax_number": "901-765-1981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2986 Kate Bond Rd",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381334003",
            "country_code": "US",
            "telephone_number": "901-765-1000",
            "fax_number": "901-765-1981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1417 Monroe Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381043634",
            "country_code": "US",
            "telephone_number": "901-296-9400",
            "fax_number": "901-272-0820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MIRIAM",
        "middle_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.