Individual provider Active NPI

Carlos Shammas, MD

  • Emergency Medicine Physician
  • Memphis, TN
National Provider Identifier
1811954134
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
39227 Issued in TN
Practice address
1910 Nonconnah Blvd
Suite 120
Memphis, TN 38132-2113
Phone
(901) 448-2300
Fax
(901) 448-6657
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 39227 TN Primary

Addresses

Primary practice location

1910 Nonconnah Blvd
Suite 120
Memphis, TN 38132-2113

Mailing address

66 N Pauline St
Suite 206
Memphis, TN 38105-5105
Phone (901) 448-7642

Other identifiers 2

IdentifierTypeStateIssuer
3331764MedicaidTN
P00691437OtherMOPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050722000886 TN Practitioner - Emergency MedicinePractitioner - Family Practice 6709813587 Reassigns benefits to 10 organizations
I20140826000578 MS Practitioner - Emergency MedicinePractitioner - Family Practice 6709813587 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist University Emergency Physicians PLLCGroup PAC ID 4981052719, 40 clinicians
Germantown Emergency Physicians, PLLCGroup PAC ID 7214386812, 29 clinicians

Practice addresses (Care Compare)

1265 Union Ave
Memphis, TN 38104-3415
Phone (901) 516-7000

7691 Poplar Ave
Germantown, TN 38138-3904
Phone (901) 516-6000

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39227TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist South Emergency Physicians, PLLC Emergency Medicine CurrentSince Jan 10, 2024 Accepting new patients
Methodist University Emergency Physicians PLLC Emergency Medicine CurrentSince Jan 10, 2024 Accepting new patients
Southeastern Physician Services PC CurrentSince Nov 12, 2019 Accepting new patients
Methodist North Emergency Physicians, PLLC Emergency Medicine CurrentSince Jan 10, 2024 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Sep 1, 2014 Accepting new patients
Germantown Emergency Physicians, PLLC Emergency Medicine CurrentSince Jan 10, 2024 Accepting new patients
T M Carr MD PC Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Olive Branch Emergency Physicians LLC Emergency Medicine CurrentSince Jan 10, 2024 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jun 15, 2014 Accepting new patients
Ut Regional One Physicians Inc Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients
Carr PLLC Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

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

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

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

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: cshammas24623@mlh.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1811954134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 N PAULINE ST",
            "address_2": "SUITE 206",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381055105",
            "telephone_number": "901-448-7642",
            "fax_number": "901-448-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 NONCONNAH BLVD",
            "address_2": "SUITE 120",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381322113",
            "telephone_number": "901-448-2300",
            "fax_number": "901-448-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMMAS",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "39227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3331764",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "P00691437",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.