Individual provider Active NPI

Veronica M Swannigan, MD

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1811979693
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD35612 Issued in TN
Practice address
1200 Peabody Ave
Memphis, TN 38104-4506
Phone
(901) 272-0003
Fax
(901) 272-7179
NPI assigned
Nov 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD35612 TN Primary

Addresses

Primary practice location

1200 Peabody Ave
Memphis, TN 38104-4506

Mailing address

PO Box 41527
Memphis, TN 38174-1527
Phone (901) 272-0003

Other identifiers 3

IdentifierTypeStateIssuer
3388963MedicaidTN
4018934OtherTNBLUE CROSS
000000019250OtherTNTENNCARE TLC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061121000066 TN Practitioner - Internal Medicine 3072511344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Church Health Center of Memphis IncGroup PAC ID 7517863392, 14 clinicians

Practice addresses (Care Compare)

1350 Concourse Ave
Suite 142
Memphis, TN 38104-2020
Phone (901) 272-0003

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048

Merit-based Incentive Payment System (MIPS)

Final score
93 of 100Reported as group
Quality
86.11
Improvement activities
40
Cost
85.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD35612TNMDInternal Medicine Physician
35612TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Church Health Center of Memphis Inc CurrentSince Aug 6, 2001 Accepting new patients

Locations

1200 Peabody Ave
Memphis, TN 38104
Phone (901) 272-0003

1350 Concourse Ave
Ste 142
Memphis, TN 38104
Phone (901) 272-0003

Interoperability endpoints

  • Direct secure messaging: veronica.swannigan.p1@direct.churchhealthcenter.nextgenshare.com

Organizations & group practices 1

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 4

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811979693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41527",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381741527",
            "telephone_number": "901-272-0003",
            "fax_number": "901-725-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PEABODY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044506",
            "telephone_number": "901-272-0003",
            "fax_number": "901-272-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANNIGAN",
        "first_name": "VERONICA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD35612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3388963",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4018934",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE TLC",
            "identifier": "000000019250",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.