Individual provider Active NPI

Robert Michael Nollner, MD

  • Family Medicine Physician
  • Cordova, TN
National Provider Identifier
1871586495
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14856 Issued in TN
Practice address
8115 Country Village Dr
Cordova, TN 38016-2030
Phone
(901) 752-2300
Fax
(901) 752-2348
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14856 TN Primary

Addresses

Primary practice location

8115 Country Village Dr
Cordova, TN 38016-2030

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other identifiers 3

IdentifierTypeStateIssuer
3068780MedicaidTN
4344825OtherTNBCBS
P01176274OtherTNRAILROAD MEDICARE

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
I20101022000205 TN Practitioner - Family Practice 8224149893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Group, LLCGroup PAC ID 0941480131, 108 clinicians

Practice addresses (Care Compare)

2961 Canada Rd
Suite 105
Lakeland, TN 38002-4893
Phone (901) 388-0115

8115 Country Village Dr
Cordova, TN 38016-2030
Phone (901) 752-2300

Hospital & facility affiliations

  • Baptist Trinity Homecare & Hospice Home health agency, Cordova, TN, CCN 447407
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • St Francis Hospital Hospital, Memphis, TN, CCN 440183

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Group LLC Family Medicine CurrentSince Mar 1, 2013 Accepting new patients
Family Physicians Group PC Family Medicine Current Accepting new patients
BMG Family Physicians Group Foundation, Inc Family Medicine PastSince Aug 1, 2020 Accepting new patients

Locations

3091 Kirby Whitten Rd
Bartlett, TN 38134
Phone (901) 260-9303

400 Market Blvd
Ste 101
Collierville, TN 38017
Phone (901) 260-9310

8115 Country Village Dr
Cordova, TN 38016
Phone (901) 752-2300

2961 Canada Rd
Ste 105
Lakeland, TN 38002
Phone (901) 388-0115

2859 Van Leer Dr
Memphis, TN 38133
Phone (901) 751-5513

1211 Union Ave
Ste 700
Memphis, TN 38104
Phone (901) 287-5182

2900 Kirby Rd
Ste 6
Memphis, TN 38119
Phone (901) 759-4745

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

Interoperability endpoints

  • Direct secure messaging: rnollner32363@mlh.direct-ci.com
  • FHIR API: https://rxedi.bmhcc.org/prd-fhir/api/FHIR/R4/

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 6

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1871586495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 COUNTRY VILLAGE DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162030",
            "telephone_number": "901-752-2300",
            "fax_number": "901-752-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLLNER",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "14856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3068780",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4344825",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01176274",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.