Active NPI
Chandrakant Prakash Patel, MD
- Family Medicine Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 59283
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20403 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Convenient Care Clinic, LLC | Current | Accepting new patients | |
| Southeastern Physician Services PC | Current | Accepting new patients | |
| Uhs of Parkwood Inc | Current | Accepting new patients | |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Crossroads Urgent Care PLLC | Family Medicine | Current | Accepting new patients |
| Crossroads Urgent Care PLLC | Family Medicine | Current | Accepting new patients |
| Uhs of Parkwood Inc | Current | Accepting new patients | |
| Convenient Care Clinic, LLC | Current | 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.
-
dba Urgent Team
- Family Medicine Physician
- Murfreesboro, TN
- NPI 1366644361
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
-
- Family Nurse Practitioner
- Horn Lake, MS
- NPI 1851490841
-
dba Parkwood Behavioral Health System
- Psychiatric Hospital
- Olive Branch, MS
- NPI 1093785859
-
dba Urgent Team
- Rural Health Clinic/Center
- South Pittsburg, TN
- NPI 1427781129
Family Medicine
-
- Rural Health Clinic/Center
- Batesville, MS
- NPI 1073246773
-
dba Parkwood Behavioral Health System
- Psychiatry Physician
- Olive Branch, MS
- NPI 1639345697
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.