Locum Tenens Healthcare

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD0000026349 Issued in TN

Legal business name

LOCUM TENENS HEALTHCARE

Practice address

3145 Hickory Hill Rd
Suite 101
Memphis, TN 38115-2533

Phone

(901) 367-1116

Fax

(901) 367-1120

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kelvin L Douglas, M.D.NPI 1982643482

Title

Doctor

Phone

(901) 367-1116

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelvin L. Douglas, M.D.

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1982643482
  NPD (past) Authorized official

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992901128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2156 N HIGHLAND AVE # 282",
            "address_2": "STE B",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383054915",
            "telephone_number": "901-367-1116",
            "fax_number": "901-367-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 HICKORY HILL RD",
            "address_2": "SUITE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381152533",
            "telephone_number": "901-367-1116",
            "fax_number": "901-367-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCUM TENENS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "901-367-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "MD0000026349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR MEMPHIS OFFICE",
            "identifier": "1992901128",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1982643482",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John J Lochemes, MD
• Adalis Lock, PHARMD
• Kristen Davenport Locke, NURSE PRACTITIONER
• Lindsey Nicole Locke, MSN, RN, CPNP-PC
• Grace Margaret Lockwood, R.N.
• Dianne Lodge
• Clara Loewen, DO
• Mark Anthony Lofton
• William Bradley Lofton, M.D.
• Angela Powell Logan, RRT

• Primary Care Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.