Geriatric Group of Memphis,PLLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

GERIATRIC GROUP OF MEMPHIS,PLLC

Practice address

2714 Union Avenue Ext
Suite 150
Memphis, TN 38112-4436

Phone

(901) 725-0872

Fax

(901) 278-6934

NPI assigned

Jul 5, 2005

Organization subpart

No

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

Authorized official

Name

Jenny Wren McCalla

Title

Operations MGR

Phone

(901) 725-0872

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Geriatric Group of Memphis, PLLC Other name

Locations

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1992702922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 UNION AVENUE EXT",
            "address_2": "SUITE 150",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124436",
            "telephone_number": "901-725-0872",
            "fax_number": "901-278-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 UNION AVENUE EXT",
            "address_2": "SUITE 150",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124436",
            "telephone_number": "901-725-0872",
            "fax_number": "901-278-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC GROUP OF MEMPHIS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "MCCALLA",
        "authorized_official_first_name": "JENNY WREN",
        "authorized_official_title_or_position": "OPERATIONS MGR",
        "authorized_official_telephone_number": "901-725-0872"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3726736",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geriatric Group of Memphis, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dongmo Georgette Tekobo
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• Therese Geraci
• Brittany Gerald
• Geriatric and Hospice Associates of the Mid South PLLC
• Geriatric Partners, LLC
• Geriatric Wellness Physicians LLC
• Geriatrics & Palliative Care PLLC
• Geriatrics Group of Memphis
• Eric Gerlach, DMD

• Geriatric Medicine (Internal Medicine) Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Geriatric Medicine (Internal Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.