NPIMap

Organization Active NPI

Dedicated Physicians Group of Tennessee, PLLC

Doing business as Dedicated Senior Medical Center Lamar Airways

  • Non-Pharmacy Dispensing Site
  • Memphis, TN
National Provider Identifier
1922634575
Registry record updated Dec 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC
Doing business as
Dedicated Senior Medical Center Lamar Airways
Practice address
2252 Lamar Ave
Memphis, TN 38114-6608
Phone
(901) 671-1800
NPI assigned
Mar 16, 2020
Last updated
Dec 24, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 24, 2020

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

Authorized official

Name
Mary Chen
Title
Exec Officer
Phone
(305) 628-6117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

2252 Lamar Ave
Memphis, TN 38114-6608

Mailing address

1395 NW 167TH St
Miami, FL 33169-5710

Other names 1

  • Dedicated Senior Medical Center Lamar Airways Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dedicated Physicians Group of Tennessee PLLC6 organizations share this tax ID, including this one
Part of
Dedicated Physicians Group of Tennessee PLLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2252 Lamar Ave
Memphis, TN 38114
Phone (901) 671-1800

Practitioners & affiliated clinicians

Practitioners 9

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": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608768000000",
    "number": "1922634575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2252 LAMAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381146608",
            "telephone_number": "901-671-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXEC OFFICER",
        "authorized_official_telephone_number": "305-628-6117"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dedicated Senior Medical Center Lamar Airways",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dedicated Senior Medical Center Lamar Airways",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 24, 2020; 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.