Individual provider Active NPI

Paul Hutchison, DPM

  • Podiatrist
  • Memphis, TN
National Provider Identifier
1891743241
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM475 Issued in TN
Practice address
7878 Winchester Rd
Memphis, TN 38125-2307
Phone
(901) 365-3668
Fax
(901) 362-7099
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DPM475 TN Primary

Addresses

Primary practice location

7878 Winchester Rd
Memphis, TN 38125-2307

Mailing address

7878 Winchester Rd
Memphis, TN 38125-2307
Phone (901) 365-3668

Other practice location 1

105 Mueller Brass Rd
Covington, TN 38019-3758
Phone (901) 831-3775

Other practice location 2

6401 Poplar Ave Ste 604
Memphis, TN 38119-4808
Phone (901) 659-2435

Other identifiers 2

IdentifierTypeStateIssuer
1531380MedicaidTN
480021016OtherTNRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071204000521 TN Practitioner - Podiatry 7113016759 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Memphis, TN; Covington, TN
O20100930009344 TN DME Supplier - Physician - Podiatry 0648381947 Practice locations: Memphis, TN

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1723 Hwy 51 S
C
Covington, TN 38019-3628
Phone (901) 476-0404

7878 Winchester Rd
Memphis, TN 38125-2307
Phone (901) 365-3668

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue121
Removal of skin lesions18
Removal of nail tissue632
Removal or shaving of skin growth261
Skin biopsy13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM475TNMDPodiatrist
475TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Feet First Podiatry, PC Current Accepting new patients
Midsouth Independent Group, PLLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

105 Mueller Brass Rd
#D
Covington, TN 38019

1901 Cook St
Dyersburg, TN 38024
Phone (731) 286-2139

6401 Poplar Ave
Ste 604
Memphis, TN 38119
Phone (901) 474-2402

7878 Winchester Rd
Memphis, TN 38125
Phone (901) 365-3668

Interoperability endpoints

  • Direct secure messaging: drhutchison@pwhd-tn.direct.office.nextgen.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIDADD/Endpoint/CIDADD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1891743241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7878 WINCHESTER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381252307",
            "telephone_number": "901-365-3668",
            "fax_number": "901-362-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7878 WINCHESTER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381252307",
            "telephone_number": "901-365-3668",
            "fax_number": "901-362-7099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Mueller Brass Rd",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "TN",
            "postal_code": "380193758",
            "country_code": "US",
            "telephone_number": "901-831-3775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6401 Poplar Ave Ste 604",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381194808",
            "country_code": "US",
            "telephone_number": "901-659-2435",
            "fax_number": "901-432-2291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1531380",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "480021016",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.