Individual provider Active NPI

Logan Marie Collins, PA-C

  • Medical Physician Assistant
  • Bartlett, TN
National Provider Identifier
1902604978
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
8046 N Brother Blvd Ste 103
Bartlett, TN 38133-2762
Phone
(731) 487-8912
NPI assigned
Mar 5, 2025
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

8046 N Brother Blvd Ste 103
Bartlett, TN 38133-2762

Mailing address

8045 N Brother Blvd Ste 103
Bartlett, TN 38133-2759
Phone (901) 373-3300

Other practice location 1

8370 US Highway 51 N
Millington, TN 38053-1629
Phone (731) 487-8912

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
I20251008000788 TN Practitioner - Physician Assistant 0749787679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zeni Interventional, PLLCGroup PAC ID 2466792338, 4 clinicians

Practice addresses (Care Compare)

5645 Murray Ave
Suite 102
Memphis, TN 38119-3824
Phone (901) 779-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6648TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Zeni Interventional PLLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

6126 Poplar Ave
Memphis, TN 38119
Phone (901) 779-5000

5645 Murray Ave
Ste 102
Memphis, TN 38119
Phone (901) 779-5000

Organizations & group practices 1

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": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1902604978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 N BROTHER BLVD STE 103",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332759",
            "telephone_number": "901-373-3300",
            "fax_number": "901-805-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8046 N BROTHER BLVD STE 103",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332762",
            "telephone_number": "731-487-8912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8370 US Highway 51 N",
            "address_purpose": "LOCATION",
            "city": "Millington",
            "state": "TN",
            "postal_code": "380531629",
            "country_code": "US",
            "telephone_number": "731-487-8912",
            "fax_number": "901-805-3828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "LOGAN",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.