Individual provider Active NPI

Chandrakant Prakash Patel, MD

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1871622969
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
59283 Issued in TN
Practice address
3295 Poplar Ave Ste 105
Memphis, TN 38111-4690
Phone
(901) 327-8188
Fax
(901) 327-8284
NPI assigned
Mar 5, 2007
Last updated
Feb 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20403 MS
Family Medicine Physician 207Q00000X 59283 TN Primary

Addresses

Primary practice location

3295 Poplar Ave Ste 105
Memphis, TN 38111-4690

Mailing address

6430 Crumpler Blvd
Olive Branch, MS 38654-1946
Phone (901) 826-1345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 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

Enrollment IDStateProvider typePAC IDDetails
I20090121000356 MS Practitioner - Family PracticePractitioner - Emergency Medicine 6002970910 Reassigns benefits to 3 organizations
I20191205000813 TN Practitioner - Family Practice 6002970910 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20403MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Convenient Care Clinic, LLC CurrentSince Jan 13, 2026 Accepting new patients
Southeastern Physician Services PC CurrentSince Oct 1, 2024 Accepting new patients
Uhs of Parkwood Inc CurrentSince Jun 1, 2016 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Nov 14, 2011 Accepting new patients
Crossroads Urgent Care PLLC Family Medicine CurrentSince Feb 5, 2026 Accepting new patients
Crossroads Urgent Care PLLC Family Medicine CurrentSince Feb 5, 2026 Accepting new patients
Uhs of Parkwood Inc CurrentSince Jun 1, 2016 Accepting new patients
Convenient Care Clinic, LLC CurrentSince Jan 13, 2026 Accepting new patients

Locations

555 Highway 6 E
Batesville, MS 38606
Phone (662) 578-2030

5142 Goodman Rd
Ste 107
Olive Branch, MS 38654
Phone (662) 874-5755

8135 Goodman Rd
Olive Branch, MS 38654
Phone (662) 893-7102

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

3025 Kirby Whitten Rd
Ste 4
Bartlett, TN 38134
Phone (901) 562-0933

397 New Byhalia Rd
Collierville, TN 38017
Phone (901) 860-0536

7860 Wolf River Blvd
Germantown, TN 38138
Phone (901) 390-4300

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1871622969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 CRUMPLER BLVD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541946",
            "telephone_number": "901-826-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 POPLAR AVE STE 105",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114690",
            "telephone_number": "901-327-8188",
            "fax_number": "901-327-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHANDRAKANT",
        "middle_name": "PRAKASH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "20403",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "59283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.