NPIMap

Individual provider Active NPI

Daniel Lee Magro Jr., M.D.

  • Family Medicine Physician
  • Germantown, TN
National Provider Identifier
1992068563
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52761 Issued in TN
Practice address
9047 Poplar Ave Ste 105
Germantown, TN 38138-6401
Phone
(901) 752-2300
Fax
(901) 752-2367
NPI assigned
Jun 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52761 TN Primary

Addresses

Primary practice location

9047 Poplar Ave Ste 105
Germantown, TN 38138-6401

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other identifiers 2

IdentifierTypeStateIssuer
5442003OtherTNBCBS
Q014205MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150929003254 TN Practitioner - Family Practice 5496063182 Reassigns benefits to 1 organization
I20260311001868 FL Practitioner - Family Practice 5496063182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Group, LLCGroup PAC ID 0941480131, 108 clinicians

Practice addresses (Care Compare)

1002 N Arnold Rd
Suite 102
Panama City Beach, FL 32413-2291
Phone (850) 234-3087

2961 Canada Rd
Suite 105
Lakeland, TN 38002-4893
Phone (901) 388-0115

9047 Poplar Ave
Suite 105
Germantown, TN 38138-6401
Phone (901) 752-2300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc CurrentSince Mar 5, 2026 Accepting new patients
Primary Care Group LLC Family Medicine CurrentSince Aug 1, 2015 Accepting new patients
Tallahassee Memorial Healthcare Inc Family Medicine CurrentSince Mar 5, 2026 Accepting new patients
Methodist Healthcare - Memphis Hospitals PastSince May 18, 2025 Accepting new patients

Locations

1002 N Arnold Rd
Unit 102
Panama City Beach, FL 32413
Phone (850) 234-3087

9047 Poplar Ave
Ste 105
Germantown, TN 38138
Phone (901) 752-2300

2961 Canada Rd
Ste 105
Lakeland, TN 38002
Phone (901) 388-0115

1211 Union Ave
Ste 700
Memphis, TN 38104
Phone (901) 287-5182

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

3725 Champion Hills Dr
Ste 2000
Memphis, TN 38125
Phone (901) 367-9001

Interoperability endpoints

  • Direct secure messaging: dmagro25289@mlh.direct-ci.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1992068563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9047 POPLAR AVE STE 105",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381386401",
            "telephone_number": "901-752-2300",
            "fax_number": "901-752-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGRO",
        "first_name": "DANIEL",
        "middle_name": "LEE",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "52761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5442003",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q014205",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.