Active NPI
Sophia Garrison
- Physician Assistant
- Memphis, TN
National Provider Identifier
1962870808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 4562 Poplar Ave Ste 109
Memphis, TN 38117-7515 - Phone
- (901) 329-8990
- NPI assigned
- Sep 9, 2015
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
4562 Poplar Ave Ste 109
Memphis, TN 38117-7515
Mailing address
4562 Poplar Ave Ste 109
Memphis, TN 38117-7515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2437 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuomey | Past | Accepting new patients | |
| Mid-South Cardiovascular Center, LLC | Past | Accepting new patients | |
| Bon Secours St Francis Xavier Hospital, Inc. | Past | Accepting new patients | |
| Atlas Health, PLLC | Medical | Past | Accepting new patients |
| Memphis Urgent Care #2, LLC. | Past | Accepting new patients |
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.
-
- Urgent Care Clinic/Center
- Memphis, TN
- NPI 1912565326
-
- Cardiovascular Disease Physician
- Memphis, TN
- NPI 1124171590
-
- Emergency Medicine Physician
- Charleston, SC
- NPI 1770867442
-
- Emergency Medicine Physician
- Sumter, SC
- NPI 1033522941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1962870808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4562 POPLAR AVE STE 109",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381177515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4562 POPLAR AVE STE 109",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381177515",
"telephone_number": "901-329-8990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "SOPHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-09",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"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 Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.