Active NPI
Shamika Shanta Bryson-McAuley, DDS
- Dentist
- Memphis, TN
National Provider Identifier
1972348084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12586
- Practice address
- 3030 Covington Pike Ste 150
Memphis, TN 38128-5041 - Phone
- (901) 310-1441
- NPI assigned
- Jun 28, 2024
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12586 | TN | Primary |
Addresses
Primary practice location
3030 Covington Pike Ste 150
Memphis, TN 38128-5041
Mailing address
139 Glaze Ave
Collierville, TN 38017-1511
Phone (901) 634-4567
Other practice location 1
4283 Raleigh Millington Rd
Memphis, TN 38128-2207
Phone (901) 587-0828
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752364800000",
"number": "1972348084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 GLAZE AVE",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380171511",
"telephone_number": "901-634-4567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 COVINGTON PIKE STE 150",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381285041",
"telephone_number": "901-310-1441"
}
],
"practiceLocations": [
{
"address_1": "4283 Raleigh Millington Rd",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381282207",
"country_code": "US",
"telephone_number": "901-587-0828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYSON-MCAULEY",
"first_name": "SHAMIKA",
"middle_name": "SHANTA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-28",
"last_updated": "2025-07-13",
"certification_date": "2025-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "12586",
"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 Jul 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.