Active NPI
Vanessa McKenzie, M.D.
- Internal Medicine Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25678
- Practice address
- 1200 E Raines Rd Ste 101
Memphis, TN 38116-5829 - Phone
- (866) 364-8944
- Fax
- (877) 319-1936
- NPI assigned
- Jul 5, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A45867 | CA | |
| Internal Medicine Physician | 207R00000X | 25678 | TN | Primary |
| Internal Medicine Physician | 207R00000X | 17796 | MS |
Addresses
Primary practice location
1200 E Raines Rd Ste 101
Memphis, TN 38116-5829
Mailing address
1200 E Raines Rd Ste 101
Memphis, TN 38116-5829
Phone (866) 364-8944
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3093293 | Medicaid | TN | |
| 00126757 | Medicaid | MS | |
| 110108905 | Other | TN | RAILROAD MEDICARE |
| 5001948 | Other | TN | TLC |
| 3031027 | Other | TN | BLUE CROSS BLUE SHIELD TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Nebraska College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 E Raines Rd
Suite 101
Memphis, TN 38116-5829
Phone (786) 408-8502
Hospital & facility affiliations
- Baptist Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17796 | MS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meharry Health Network, PC | Current | Accepting new patients | |
| Methodist Healthcare Community Care Associates | Current | Accepting new patients | |
| Baldwin Hills Crenshaw Urgent Care | Current | Accepting new patients | |
| Adult Primary Care of Memphis PC | Internal Medicine | Past | Accepting new patients |
| DRH Medical Group | Past | Accepting new patients |
Locations
3650 W Martin Luther King Jr Blvd
Ste 185
Los Angeles, CA 90008
Phone (323) 294-4266
8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869
8035 Club Pkwy
Cordova, TN 38016
Phone (901) 758-6035
438 N Cleveland St
Memphis, TN 38104
Phone (866) 364-8944
1200 E Raines Rd
Ste 101
Memphis, TN 38116
Phone (663) 648-9448
8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001
Interoperability endpoints
- vanessa.mckenzie@wwmp.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Memphis, TN
- NPI 1942839147
-
- Urgent Care Clinic/Center
- Los Angeles, CA
- NPI 1710368675
-
- Urgent Care Clinic/Center
- Oakland, CA
- NPI 1790560225
-
- Urgent Care Clinic/Center
- Cordova, TN
- NPI 1194839241
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1376738906
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1952332595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E RAINES RD STE 101",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381165829",
"telephone_number": "866-364-8944",
"fax_number": "877-319-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E RAINES RD STE 101",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381165829",
"telephone_number": "866-364-8944",
"fax_number": "877-319-1936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENZIE",
"first_name": "VANESSA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A45867",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "25678",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "17796",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3093293",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00126757",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110108905",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TLC",
"identifier": "5001948",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TN",
"identifier": "3031027",
"state": "TN"
}
],
"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 May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.