Organization Active NPI

Southwind Medical Specialists, P.C.

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1912007170
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOUTHWIND MEDICAL SPECIALISTS, P.C.
Practice address
5182 Sanderlin Ave
Suite 3
Memphis, TN 38117-4354
Phone
(901) 685-0152
Fax
(901) 685-9982
NPI assigned
Sep 25, 2006
Last updated
Nov 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Jason Barrett, PHD
Title
Practice Administrator
Phone
(901) 367-9001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5182 Sanderlin Ave
Suite 3
Memphis, TN 38117-4354

Mailing address

PO Box 1000
Dept. 362
Memphis, TN 38148-0362
Phone (901) 373-9704

National Provider Directory

National Provider Directory

Locations

3725 Champion Hills Dr
Ste 2000
Memphis, TN 38125
Phone (901) 367-9001

5182 Sanderlin Ave
Ste 3
Memphis, TN 38117
Phone (901) 685-0152

6590 Kirby Center Cv
Ste 103
Memphis, TN 38115
Phone (901) 367-1116

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1912007170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "DEPT. 362",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480362",
            "telephone_number": "901-373-9704",
            "fax_number": "901-202-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5182 SANDERLIN AVE",
            "address_2": "SUITE 3",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174354",
            "telephone_number": "901-685-0152",
            "fax_number": "901-685-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWIND MEDICAL SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "901-367-9001",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.