Organization Active NPI

Delta Medical Services, LLC

  • Specialist
  • Memphis, TN
National Provider Identifier
1962778985
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DELTA MEDICAL SERVICES, LLC
Practice address
3000 Getwell Rd
Memphis, TN 38118-2205
Phone
(901) 369-6089
Fax
(901) 369-6925
NPI assigned
Mar 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Mr. Christopher Howard
Title
VP & Secretary
Phone
(615) 861-6000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X

Addresses

Primary practice location

3000 Getwell Rd
Memphis, TN 38118-2205

Mailing address

3000 Getwell Road
Memphis, TN 38118
Phone (901) 369-8517

Other identifiers 1

IdentifierTypeStateIssuer
1529687MedicaidTN

Other names 1

  • Delta Medical Services, Inc Former legal business name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3960 Knight Arnold Rd
Ste 215A
Memphis, TN 38118
Phone (901) 369-6015

3960 Knight Arnold Rd
Ste 202
Memphis, TN 38118

3960 Knight Arnold Rd
Memphis, TN 38118
Phone (901) 369-4600

3960 Knight Arnold Rd
Ste 300
Memphis, TN 38118
Phone (901) 366-9355

3960 Knight Arnold Rd
Ste 215E
Memphis, TN 38118
Phone (901) 369-4621

3960 Knight Arnold Rd
Ste 215C
Memphis, TN 38118
Phone (901) 345-2002

1325 Eastmoreland Ave
Ste 500
Memphis, TN 38104
Phone (901) 725-0882

3960 Knight Arnold Rd
Ste 305
Memphis, TN 38118

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1962778985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 GETWELL ROAD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38118",
            "telephone_number": "901-369-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 GETWELL RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381182205",
            "telephone_number": "901-369-6089",
            "fax_number": "901-369-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529687",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Medical Services, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 10, 2017; 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.