Individual provider Active NPI

Bethany Buisson, PA-C

  • Physician Assistant
  • Germantown, TN
National Provider Identifier
1861845356
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1920 Kirby Pkwy Ste 202
Germantown, TN 38138-3697
Phone
(901) 751-9997
Fax
(901) 751-1344
NPI assigned
Jul 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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 Primary

Addresses

Primary practice location

1920 Kirby Pkwy Ste 202
Germantown, TN 38138-3697

Mailing address

3729 Old Creek CV
Bartlett, TN 38135-2496
Phone (901) 216-3576

Other names 1

  • Bethany Wilson Former name

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
I20200331003847 TN Practitioner - Physician Assistant 7113215609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Darsalud Community Center IncGroup PAC ID 1759706567, 11 clinicians

Practice addresses (Care Compare)

6063 Mount Moriah Rd Ext
Suite 4
Memphis, TN 38115-2665
Phone (901) 531-8800

6625 Lenox Park Dr
Memphis, TN 38115-4397
Phone (901) 683-0024

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dar Salud Care PLLC Current Accepting new patients
Darsalud Community Center Inc Past Accepting new patients

Locations

6063 Mount Moriah Road Ext
Ste 4
Memphis, TN 38115
Phone (901) 531-8800

Organizations & group practices 3

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 1

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": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1861845356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3729 OLD CREEK CV",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381352496",
            "telephone_number": "901-216-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 KIRBY PKWY STE 202",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383697",
            "telephone_number": "901-751-9997",
            "fax_number": "901-751-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUISSON",
        "first_name": "BETHANY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "WILSON",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.