Individual provider Active NPI

Emily Tice

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1972070548
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25061 Issued in TN
Practice address
6799 Great Oaks Rd Ste 250
Memphis, TN 38138-2584
Phone
(901) 821-8300
NPI assigned
Oct 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903006 MS
Family Nurse Practitioner 363LF0000X 25061 TN Primary

Addresses

Primary practice location

6799 Great Oaks Rd Ste 250
Memphis, TN 38138-2584

Mailing address

1062 Holly Leigh CV
Collierville, TN 38017-6102
Phone (901) 647-4791

Other practice location 1

397 New Byhalia Rd
Collierville, TN 38017-3705
Phone (901) 860-0536

Other names 1

  • Emily Garrett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190507002274 TN Practitioner - Nurse Practitioner 5799023511 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consolidated Medical Practices of Memphis,PLLCGroup PAC ID 1759459845, 113 clinicians

Practice addresses (Care Compare)

6799 Great Oaks Rd
Suite 250
Memphis, TN 38138-2584
Phone (901) 261-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Healthcare Community Care Associates CurrentSince Mar 11, 2019 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Apr 17, 2023 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Apr 17, 2023 Accepting new patients
Consolidated Medical Practices of Memphis,PLLC CurrentSince Aug 1, 2024 Accepting new patients
Spring Valley Hospice, LLC CurrentSince Oct 5, 2021 Accepting new patients
Adult Primary Care of Memphis PC Past Accepting new patients

Locations

2200 S Bowman Rd
Ste A
Little Rock, AR 72211
Phone (501) 558-4100

7139 Commerce Dr
Ste B3
Olive Branch, MS 38654
Phone (501) 558-4111

397 S Byhalia Rd
Collierville, TN 38017

397 New Byhalia Rd
Collierville, TN 38017
Phone (901) 860-0536

8035 Club Pkwy
Cordova, TN 38016
Phone (901) 758-6035

8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001

6799 Great Oaks Rd
Ste 250
Memphis, TN 38138
Phone (901) 261-0700

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1972070548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 HOLLY LEIGH CV",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380176102",
            "telephone_number": "901-647-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6799 GREAT OAKS RD STE 250",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381382584",
            "telephone_number": "901-821-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "397 New Byhalia Rd",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380173705",
            "country_code": "US",
            "telephone_number": "901-860-0536",
            "fax_number": "901-860-4220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TICE",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903006",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "GARRETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.