Active NPI
Andrew Noble Irwin, M.D.
- Pediatrics Physician
- Collierville, TN
National Provider Identifier
1982998357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 50115
- Practice address
- 120 Crescent Dr
Collierville, TN 38017-3374 - Phone
- (901) 757-3560
- NPI assigned
- Jun 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 50115 | TN | Primary |
Addresses
Primary practice location
120 Crescent Dr
Collierville, TN 38017-3374
Mailing address
8110 Walnut Run Rd
Cordova, TN 38018-6362
Phone (901) 754-9600
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrics East Inc | Pediatrics | Past | Accepting new patients |
| Pediatric Emergency Specialists, PC | Past | Accepting new patients |
Interoperability endpoints
- airwin22350@mlh.direct-ci.com
Organizations & group practices 2
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.
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Memphis, TN
- NPI 1760482434
-
- Pediatrics Physician
- Cordova, TN
- NPI 1427066695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1982998357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8110 WALNUT RUN RD",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380186362",
"telephone_number": "901-754-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 CRESCENT DR",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380173374",
"telephone_number": "901-757-3560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRWIN",
"first_name": "ANDREW",
"middle_name": "NOBLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-02",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "50115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Collierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.