Active NPI
Martha N Taylor, MD
- Internal Medicine Physician
- Germantown, TN
National Provider Identifier
1912908443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 15013
- Practice address
- 7690 Wolf River Circle
Germantown, TN 38138 - Phone
- (901) 756-1231
- Fax
- (901) 755-1590
- NPI assigned
- Aug 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 15013 | TN | Primary |
Addresses
Primary practice location
7690 Wolf River Circle
Germantown, TN 38138
Mailing address
PO Box 1000
Dept # 978
Memphis, TN 38148-0001
Phone (901) 756-1231
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4342196 | Other | TN | BCBS |
| 1522484 | Medicaid | TN | |
| P01152796 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15013 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Medical Group PLLC | Internal Medicine | Past | Accepting new patients |
| Foundation Primary Care, LLC | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Germantown, TN
- NPI 1306903927
-
- General Practice Physician
- Germantown, TN
- NPI 1801190921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389657600000",
"number": "1912908443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"address_2": "DEPT # 978",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381480001",
"telephone_number": "901-756-1231",
"fax_number": "901-755-1590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7690 WOLF RIVER CIRCLE",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "38138",
"telephone_number": "901-756-1231",
"fax_number": "901-755-1590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "MARTHA",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2014-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "15013",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4342196",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1522484",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01152796",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.