Active NPI
Medical Care of Tennessee PLLC
- General Practice Physician
- Memphis, TN
National Provider Identifier
1982366779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MEDICAL CARE OF TENNESSEE PLLC
- Practice address
- 1407 Union Ave
Memphis, TN 38104-3627 - Phone
- (901) 674-8230
- NPI assigned
- Oct 8, 2021
- Last updated
- Apr 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph N De Vera
- Title
- Manager Member
- Phone
- (901) 674-8230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | NU | Primary |
Addresses
Primary practice location
1407 Union Ave
Memphis, TN 38104-3627
Mailing address
1407 Union Ave
Memphis, TN 38104-3627
Phone (901) 674-8230
National Provider Directory
National Provider DirectoryLocations
1407 Union Ave
Memphis, TN 38104
Phone (877) 258-8795
1407 Union Ave
Ste 305
Memphis, TN 38104
Phone (901) 609-2444
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- General Practice Physician
- Memphis, TN
- NPI 1629730411
-
- Clinic/Center
- Memphis, TN
- NPI 1245941749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650585600000",
"number": "1982366779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 UNION AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043627",
"telephone_number": "901-674-8230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 UNION AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043627",
"telephone_number": "901-674-8230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL CARE OF TENNESSEE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-08",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A",
"authorized_official_last_name": "DE VERA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "MANAGER MEMBER",
"authorized_official_telephone_number": "901-674-8230"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- Medic Transportation, LLC.
- Medical Acupuncture Research Institute of America, Inc
- Medical Alternatives
- Medical Anesthesia Group, PA
- Medical Care of Tennessee PLLC
- Medical Care of Tennessee, PLLC
- Medical Center Endoscopy Group
- Medical Electro-Therapeutics Inc (Rotech)
- Medical Hotspots, Inc (Bailey's Medical Equipment and Supplies)
- Medical Psychiatric Associates P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.