Individual provider Active NPI

Christine Mestemacher, M.D.

  • Obstetrics & Gynecology Physician
  • Germantown, TN
National Provider Identifier
1952308389
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
26619 Issued in TN
Practice address
7918 Wolf River Blvd
Germantown, TN 38138-1725
Phone
(901) 624-4444
Fax
(901) 202-4920
NPI assigned
Jun 30, 2005
Last updated
Apr 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 26619 TN Primary

Addresses

Primary practice location

7918 Wolf River Blvd
Germantown, TN 38138-1725

Mailing address

8110 N Brother Blvd Ste 200
Bartlett, TN 38133-2760
Phone (901) 255-5221

Other identifiers 8

IdentifierTypeStateIssuer
5217633OtherAETNA HMO
4341769OtherTNBCBST MOGA
1525451MedicaidTN
5217633OtherAETNA PPO
4155611OtherTNBCBS
6381105OtherCIGNA
P00834375OtherTNMEDICARE RAILROAD
P01172694OtherTNMEDICARE RAILROAD MOGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231017001848 MS Practitioner - Obstetrics/Gynecology 3274502398 Reassigns benefits to 1 organization
I20260626003588 FL Practitioner - Obstetrics/Gynecology 3274502398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Mississippi PCGroup PAC ID 7416120407, 29 clinicians

Practice addresses (Care Compare)

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (800) 967-2289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26619TNMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Mississippi, P.C. Obstetrics & Gynecology CurrentSince Jul 28, 2023 Accepting new patients
Baptist Memorial Hospital-Desoto, Inc, Past Accepting new patients

Locations

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607

Interoperability endpoints

  • Direct secure messaging: cmestemacher13471@direct.bmhcc.org
  • Direct secure messaging: cmestemacher24372@mlh.direct-ci.com

Organizations & group practices 3

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1952308389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 N BROTHER BLVD STE 200",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332760",
            "telephone_number": "901-255-5221",
            "fax_number": "901-373-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7918 WOLF RIVER BLVD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381725",
            "telephone_number": "901-624-4444",
            "fax_number": "901-202-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESTEMACHER",
        "first_name": "CHRISTINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "26619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "5217633",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST MOGA",
            "identifier": "4341769",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525451",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5217633",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4155611",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6381105",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00834375",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD MOGA",
            "identifier": "P01172694",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.