BAPTIST MEMORIAL MEDICAL GROUP INC – Internal Medicine Physician, NPI 1306089206
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BAPTIST MEMORIAL MEDICAL GROUP INC
1500 W Poplar Ave Ste 202
Collierville, TN 380170601
Phone: (901) 861-9090
Fax: (901) 861-9099
Type: Location
1500 W Poplar Ave Ste 308
Collierville, TN 380170601
Phone: (901) 861-8550
Fax: (901) 861-8555
Type: Location
1500 W Poplar Ave
Collierville, TN 380170601
Phone: (901) 226-2800
Fax: (901) 226-2802
Type: Location
1520 Union Ave
Memphis, TN 381740275
Phone: (901) 757-3439
Fax: (901) 757-3496
Type: Location
1522 N Division St
Blytheville, AR 723151448
Phone: (870) 762-1660
Fax: (870) 762-1704
Type: Location
1700 Woodlawn Ave
Dyersburg, TN 380242028
Phone: (731) 259-6289
Fax: (731) 287-9493
Type: Location
1995 Highway 51 S Ste 203
Covington, TN 380193655
Phone: (901) 475-5480
Fax: (901) 475-5493
Type: Location
1995 Highway 51 S Ste 204
Covington, TN 380193655
Phone: (901) 475-5305
Fax: (901) 475-5307
Type: Location
100 Baptist Memorial Cir Ste 200
Oxford, MS 386554476
Phone: (662) 244-2288
Fax: (662) 636-2285
Type: Location
100 Baptist Memorial Cir Ste 120
Oxford, MS 386554476
Phone: (662) 244-2288
Fax: (662) 636-2285
Type: Location
100 Baptist Memorial Cir Ste 202
Oxford, MS 386554476
Phone: (662) 636-2451
Fax: (662) 636-2290
Type: Location
100 Baptist Memorial Cir Ste 204
Oxford, MS 386554476
Phone: (662) 636-4333
Fax: (662) 636-1704
Type: Location
104 Doctors Park
Starkville, MS 397592570
Phone: (662) 323-1181
Fax: (662) 323-5951
Type: Location
107 Brandon Rd
Starkville, MS 397592521
Phone: (662) 240-1412
Fax: (662) 240-1949
Type: Location
1109 E Reelfoot Ave Ste F
Union City, TN 382615867
Phone: (731) 884-1412
Fax: (731) 884-1720
Type: Location
1111 Union Ave
Memphis, TN 381046646
Phone: (901) 529-4045
Fax: (901) 526-4096
Type: Location
1205 Russell St
Union City, TN 382615352
Phone: (731) 884-0002
Fax: (731) 884-1555
Type: Location
1300 Sunset Dr Ste Q
Grenada, MS 389014084
Phone: (662) 294-9101
Fax: (662) 294-9104
Type: Location
1312 Bishop St
Union City, TN 382615406
Phone: (731) 885-5100
Fax: (731) 885-7584
Type: Location
1412 E Reelfoot Ave
Union City, TN 382615813
Phone: (731) 885-5131
Fax: (731) 885-5335
Type: Location
1500 W Poplar Ave Ste 206
Collierville, TN 380170601
Phone: (901) 861-8484
Fax: (601) 861-8489
Type: Location
Baptist Memorial Health Care Corporation, 350, North Humphreys Boulevard, East Memphis, Memphis, Shelby County, Tennessee, 38120, United States
MEMPHIS, TN 381202177
Phone:
Type: Mailing
8970, Winchester Road, Germantown, Shelby County, Tennessee, 38125, United States
MEMPHIS, TN 381258231
Phone: (901) 227-4068
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-12-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040218000385 | O | Clinic/Group Practice | TN | TBD |
| O20101011000028 | O | Clinic/Group Practice | MS | TBD |
| O20151202001309 | O | Clinic/Group Practice | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 38017)
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