Neurology Clinic, PC

Organization Active NPI Neurology Physician · Cordova, TN

NPI 1942233952 · NPPES record last updated May 26, 2023

Key facts

NPI
1942233952
Entity type
Organization (NPI type 2)
Primary specialty
Neurology Physician 2084N0400X
Legal business name
NEUROLOGY CLINIC, PC
Practice address
8000 Centerview Pkwy Ste 500
Cordova, TN 38018-4254
Phone
(901) 747-1111
Fax
(901) 747-1137
NPI assigned
Jul 10, 2006
Organization subpart
No

Authorized official

Name
Mr. Chip Harris
Title
Practice Administrator
Phone
(901) 255-7155

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 1

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

Practitioners 45

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

View all 45

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040710000141 TN Part B Supplier - Clinic/Group Practice 8729066352 Receives reassigned benefits from 14 practitioners
Practice locations: Cordova, TN

National Provider Directory

Tax ID family
Neurology Clinic PC (2 organizations share this tax ID)

Locations

8000 Centerview Pkwy
Ste 500
Cordova, TN 38018
Phone (901) 747-1111

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2084N0008X
Neurology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2084N0400X Yes
Sleep Medicine (Psychiatry & Neurology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2084S0012X

Addresses

Primary practice location

8000 Centerview Pkwy Ste 500
Cordova, TN 38018-4254

Mailing address

8000 Centerview Pkwy Ste 500
Cordova, TN 38018-4254
Phone (901) 747-1111

Other identifiers

IdentifierTypeStateIssuer
3703553MedicaidTN

Other providers in Cordova, TN

All providers in Cordova, TN · Neurology Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.