Phillip R Northcross, M.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD017326 Issued in TN

Practice address

3440 Poplar Ave
Suite 13
Memphis, TN 38111-4653

Phone

(901) 523-7781

NPI assigned

Mar 1, 2006

Last updated

Jun 17, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN, VA2 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

Specialty

Internal Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DFHGDD/Endpoint/DFHGDD
• Direct secure messaging: pnorthcross31790@mlh.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northcross Internal Medicine, PLLC

  • Primary Care Clinic/Center
  • Memphis, TN
  • NPI 1871068361
  Medicare reassignment NPD Authorized official
• Suffolk United, Inc

  dba Primecare Medical

  • Internal Medicine Physician
  • Portsmouth, VA
  • NPI 1053017475
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1578527172
  Care Compare affiliation
• Methodist Healthcare - Memphis Hospitals

  dba Le Bonheur Children's Hospital

  • Children's Hospital
  • Memphis, TN
  • NPI 1386709871
  Care Compare affiliation
• Methodist Healthcare - Memphis Hospitals

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1558365890
  Care Compare affiliation
• Methodist Healthcare - Memphis Hospitals

  dba Le Bonheur Children's Hospital - Germantown

  • Children's Hospital
  • Germantown, TN
  • NPI 1649654450
  Care Compare affiliation

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1831166677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 POPLAR AVE",
            "address_2": "STE 13",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114667",
            "telephone_number": "901-523-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 POPLAR AVE",
            "address_2": "SUITE 13",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114653",
            "telephone_number": "901-523-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHCROSS",
        "first_name": "PHILLIP",
        "middle_name": "R",
        "credential": "M.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD017326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3020931",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "3061799",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Delta Medical Supplies, Inc
• North Internal Medicine, P. C.
• North Memphis Medical Clinic
• North Surgery Center LP
• Northcross Internal Medicine, PLLC
• Adrian Northcutt, PH.D.
• Bonnie Norton, PT
• Isabella Grace Norton, PA
• Jeana Norton, DPT
• Leroy Norton Jr., OD

• Internal Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.