PHC OF TN LENOX – NPI #1134698590
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

PHC OF TN LENOX is a provider located in MEMPHIS, TN. NPPES has assigned the NPI number 1134698590 to PHC OF TN LENOX on November 15, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PHC OF TN LENOX” is a dba name, the actual legal business name for this organization is PATRIOT HEALTHCARE OF TENNESSEE, LLC. The primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 7 years ago on Jan 02, 2019. 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 PHC OF TN LENOX below.

NPI Profile for
PATRIOT HEALTHCARE OF TENNESSEE, LLC

NPI Number
1134698590
Enumeration Date

(more than 7 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
PATRIOT HEALTHCARE OF TENNESSEE, LLC
Doing Business As (dba): PHC OF TN LENOX
Primary location
3175 LENOX PARK BOULEVARD
SUITE 100
MEMPHIS, TN 38115
Phone: (901) 652-1598 Fax:
Mailing address
100 ARRICOLA AVENUE
ST. AUGUSTINE, FL 32080
Phone: (904) 825-4368 Fax:
Organization Subpart
No
Authorized Official
DAVID CULVER
ADMINISTRATOR
Phone: (904) 866-9863
Updated
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
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)

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.