Organization Active NPI

M&M Healthcare Services, PLLC

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1821452087
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15453 Issued in TN
Legal business name
M&M HEALTHCARE SERVICES, PLLC
Practice address
1251 Fleets Harbor Dr
Memphis, TN 38103-8991
Phone
(901) 417-1779
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Karol Maclin, DNPNPI 1851694848
Title
Provider/Co-Owner
Phone
(901) 417-1779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 15453 TN Primary

Addresses

Primary practice location

1251 Fleets Harbor Dr
Memphis, TN 38103-8991

Mailing address

PO Box 770715
Memphis, TN 38177-0715

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160608000095 TN Part B Supplier - Clinic/Group Practice 4688964406 Receives reassigned benefits from 1 practitioner
Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1821452087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770715",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381770715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 FLEETS HARBOR DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381038991",
            "telephone_number": "901-417-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M HEALTHCARE SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "MACLIN",
        "authorized_official_first_name": "KAROL",
        "authorized_official_title_or_position": "PROVIDER/CO-OWNER",
        "authorized_official_telephone_number": "901-417-1779",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.