Active NPI
Lakesha A Tables, MD
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- License
- 41223
- Practice address
- 50 N Dunlap St
Memphis, TN 38103-2800 - Phone
- (901) 405-1407
- NPI assigned
- Aug 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | 41223 | TN | Primary |
Addresses
Primary practice location
50 N Dunlap St
Memphis, TN 38103-2800
Mailing address
8010 Stage Hills Blvd
Bartlett, TN 38133-4032
Phone (901) 291-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41223 | TN | MD | Pediatric Emergency Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morehouse Healthcare, Inc. | Current | Accepting new patients | |
| Pediatric Emergency Specialists, PC | Pediatric Emergency Medicine | Past | Accepting new patients |
Locations
455 Lee St SW
Fl 2
Atlanta, GA 30310
Phone (404) 756-1241
1800 Howell Mill Rd NW
Ste 550
Atlanta, GA 30318
Phone (404) 756-1290
35 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 785-9500
720 Westview Dr SW
Ste 100A
Atlanta, GA 30310
1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086
Interoperability endpoints
- ltables2946067@carolinashealthcaresystem.direct-ci.com
- lakesha.tables.1@10414.direct.athenahealth.com
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.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1801832324
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Memphis, TN
- NPI 1760482434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332460800000",
"number": "1962518217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8010 STAGE HILLS BLVD",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381334032",
"telephone_number": "901-291-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N DUNLAP ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032800",
"telephone_number": "901-405-1407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABLES",
"first_name": "LAKESHA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2012-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "TN",
"license": "41223",
"primary": true
}
],
"identifiers": [],
"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 Mar 23, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.