MEMPHIS SPINE AND REHAB CENTER, PLLC – NPI #1811304439
Clinic/Center

MEMPHIS SPINE AND REHAB CENTER, PLLC is an AHC clinic located in MEMPHIS, TN. NPPES has assigned the NPI number 1811304439 to MEMPHIS SPINE AND REHAB CENTER, PLLC on July 15, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 6 years ago on Feb 25, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEMPHIS SPINE AND REHAB CENTER, PLLC below.

NPI Profile for
MEMPHIS SPINE AND REHAB CENTER, PLLC

NPI Number
1811304439
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEMPHIS SPINE AND REHAB CENTER, PLLC
Primary location
2645 APPLING RD STE 103
MEMPHIS, TN 38133-5088
Phone: (901) 751-0939 Fax: (901) 751-0332
Mailing address
7796 WOLF TRAIL CV STE 1022645
MEMPHIS, TN 38138-1782
Phone: (901) 751-0939 Fax: (901) 751-0332
Organization Subpart
No
Authorized Official
LINDA PETTY
OFFICE MANAGER
Phone: (901) 751-0939
Updated
Certification Date
Feb 25, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MEMPHIS SPINE AND REHAB CENTER, PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTNQ009468
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)
111NR0400X
- Chiropractor / Rehabilitation

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
EMAIL
Content Type
CSV
Affiliation
N
Endpoint Location
2645 APPLING RD STE 103,
MEMPHIS, TN 77025-1669