Active NPI 1659443836 Individual Practitioner Male Practitioner

Dr. Samuel H Peeples , MD

Internal Medicine • Jackson, MS

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Peeples, MD is a certified Internal Medicine practicing in Jackson, MS. With approximately 42 years of clinical experience since graduating from University Of Mississippi School Of Medicine in 1984, Dr. Peeples delivers high-quality medical care to the local community at 1200 N STATE ST.

Dr. Peeples is affiliated with Medical Foundation Of Central Mississippi Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1200 N State St
Suite 500

Jackson, MS 392022000

Telephone 6013522273

Fax 6017143415

Associated Practice Facility / Clinic

🏢 Medical Foundation Of Central Mississippi, Inc Facility NPI 1841413432

Medicare Profile & Education

Medical School

University Of Mississippi School Of Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Jackson, MS

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +24.2 yrs vs City Avg

City Avg: 17.8 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

335 Specialists

Practicing in Jackson, MS (1017 Statewide)

Telehealth Adoption Rate

3.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

39.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peeples (42 Years) 42 Yrs

Jackson Specialty Average (17.8 Years) 17.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,477	685	$146.00	$89.50
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	890	496	$37.00	$15.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	607	607	$158.00	$117.12
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	150	24	$114.00	$46.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	79	62	$198.00	$132.35
99213 Established patient office or other outpatient visit, typically 15 minutes	40	40	$98.00	$60.50
99213 Established patient office or other outpatient visit, typically 15 minutes	37	30	$98.00	$67.44
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	25	13	$54.00	$32.13
99442 Telephone medical discussion with physician, 11-20 minutes	20	18	$90.00	$60.43
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$212.00	$119.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$146.00	$108.50
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	16	12	$80.00	$37.20
99495 Transitional care management services for problem of at least moderate complexity	16	15	$228.00	$128.89
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	13	$89.00	$47.97
99443 Telephone medical discussion with physician, 21-30 minutes	13	12	$140.00	$89.65
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	11	11	$43.00	$7.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,562	715	$146.00	$91.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	621	621	$158.00	$117.99
G0442 Annual alcohol misuse screening, 5 to 15 minutes	395	395	$23.40	$8.52
G0444 Annual depression screening, 5 to 15 minutes	369	369	$40.00	$8.52
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	184	32	$114.00	$47.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	75	64	$198.00	$133.68
99213 Established patient office or other outpatient visit, typically 15 minutes	56	53	$98.00	$61.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	38	$146.00	$117.04
99213 Established patient office or other outpatient visit, typically 15 minutes	32	31	$98.00	$81.85
99496 Transitional care management services for problem of high complexity	28	26	$320.00	$178.16
99442 Telephone medical discussion with physician, 11-20 minutes	21	21	$90.00	$61.62
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$212.00	$121.96
99442 Telephone medical discussion with physician, 11-20 minutes	17	17	$90.00	$82.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$226.00	$124.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,656	707	$146.05	$92.69
G0442 Annual alcohol misuse screening, 5 to 15 minutes	645	645	$23.40	$8.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	618	618	$158.00	$120.71
G0444 Annual depression screening, 5 to 15 minutes	612	612	$40.00	$8.74
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	237	40	$114.00	$48.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	79	73	$199.06	$137.52
99213 Established patient office or other outpatient visit, typically 15 minutes	56	51	$98.00	$63.09
99213 Established patient office or other outpatient visit, typically 15 minutes	47	45	$98.00	$82.84
99442 Telephone medical discussion with physician, 11-20 minutes	36	35	$90.00	$62.90
99442 Telephone medical discussion with physician, 11-20 minutes	27	25	$90.00	$83.34
99496 Transitional care management services for problem of high complexity	25	24	$320.00	$183.97
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	24	24	$212.00	$126.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$146.00	$118.64
99443 Telephone medical discussion with physician, 21-30 minutes	19	19	$140.00	$92.95
36415 Insertion of needle into vein for collection of blood sample	19	19	$20.00	$2.97
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	19	19	$67.00	$51.01
81001 Manual urinalysis test with examination using microscope, automated	16	15	$25.00	$3.15
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	15	12	$54.00	$33.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,607	698	$146.00	$94.36
G0442 Annual alcohol misuse screening, 5 to 15 minutes	649	649	$23.40	$8.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	622	622	$158.00	$122.33
G0444 Annual depression screening, 5 to 15 minutes	585	585	$40.00	$8.87
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	317	65	$114.00	$29.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	124	112	$198.00	$138.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	78	$146.00	$117.97
99213 Established patient office or other outpatient visit, typically 15 minutes	69	66	$98.00	$63.86
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	46	20	$82.00	$64.03
36415 Insertion of needle into vein for collection of blood sample	44	35	$20.00	$3.00
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	40	38	$67.00	$51.31
99496 Transitional care management services for problem of high complexity	38	37	$320.00	$185.81
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	37	18	$80.00	$37.20
99443 Telephone medical discussion with physician, 21-30 minutes	32	29	$140.00	$94.60
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	24	24	$212.00	$126.99
99443 Telephone medical discussion with physician, 21-30 minutes	24	23	$140.00	$120.45
99442 Telephone medical discussion with physician, 11-20 minutes	23	21	$90.00	$64.10
81001 Manual urinalysis test with examination using microscope, automated	22	19	$25.00	$3.17
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$98.00	$84.43
99442 Telephone medical discussion with physician, 11-20 minutes	20	18	$90.00	$81.68
99495 Transitional care management services for problem of at least moderate complexity	18	17	$228.00	$136.53
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	16	$89.00	$48.35
99497 Advance care planning, first 30 minutes	14	14	$101.36	$73.78
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	13	11	$54.00	$26.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,240	591	$146.00	$75.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	534	534	$158.00	$107.99
G0442 Annual alcohol misuse screening, 5 to 15 minutes	497	497	$23.40	$9.26
G0444 Annual depression screening, 5 to 15 minutes	419	419	$40.00	$9.27
99213 Established patient office or other outpatient visit, typically 15 minutes	334	317	$98.00	$49.12
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	296	85	$114.00	$30.86
36415 Insertion of needle into vein for collection of blood sample	107	94	$20.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	76	$146.00	$92.90
99443 Telephone medical discussion with physician, 21-30 minutes	82	54	$133.05	$73.88
99443 Telephone medical discussion with physician, 21-30 minutes	47	44	$97.55	$75.88
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	46	19	$117.00	$87.01
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	44	39	$89.00	$49.51
99213 Established patient office or other outpatient visit, typically 15 minutes	41	41	$98.00	$68.57
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	38	27	$80.00	$37.76
G0444 Annual depression screening, 5 to 15 minutes	33	33	$40.00	$16.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$158.00	$108.04
99496 Transitional care management services for problem of high complexity	31	27	$320.00	$156.93
99442 Telephone medical discussion with physician, 11-20 minutes	30	28	$86.07	$48.11
99495 Transitional care management services for problem of at least moderate complexity	23	22	$228.00	$119.11
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	23	23	$232.00	$160.65
99497 Advance care planning, first 30 minutes	23	23	$101.36	$75.75
G0442 Annual alcohol misuse screening, 5 to 15 minutes	15	15	$23.40	$16.80
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	13	11	$82.00	$65.83
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	13	13	$35.00	$7.77
99442 Telephone medical discussion with physician, 11-20 minutes	12	12	$60.50	$48.68
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$212.00	$122.70
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	11	11	$67.00	$51.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,815	675	$146.00	$74.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	611	611	$158.00	$107.90
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	301	94	$114.00	$30.32
99213 Established patient office or other outpatient visit, typically 15 minutes	214	205	$98.00	$48.37
99497 Advance care planning, first 30 minutes	210	210	$101.36	$75.04
99495 Transitional care management services for problem of at least moderate complexity	39	34	$228.00	$104.93
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	38	18	$82.00	$64.73
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	30	$89.00	$49.21
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	29	29	$212.00	$120.74
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	26	20	$80.00	$37.89
99496 Transitional care management services for problem of high complexity	21	21	$320.00	$151.92
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	19	13	$50.00	$41.48
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	16	14	$80.00	$37.89
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	15	15	$43.00	$8.13
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	13	$89.00	$49.21
G0008 Administration of influenza virus vaccine	13	13	$30.00	$15.04
90662 Influenza vaccine split virus, preservative free	13	13	$69.38	$54.89
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$232.00	$160.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,684	695	$146.00	$73.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	569	569	$158.00	$106.58
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	510	117	$114.00	$30.16
99497 Advance care planning, first 30 minutes	263	262	$97.11	$74.06
99213 Established patient office or other outpatient visit, typically 15 minutes	137	132	$98.00	$48.07
G0442 Annual alcohol misuse screening, 5 to 15 minutes	133	133	$30.14	$8.94
G0444 Annual depression screening, 5 to 15 minutes	133	133	$36.26	$8.94
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	41	19	$50.00	$41.46
85610 Blood test, clotting time	35	22	$15.31	$4.75
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	30	20	$80.00	$37.90
36415 Insertion of needle into vein for collection of blood sample	30	25	$20.00	$2.87
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	28	22	$114.00	$49.15
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	20	$89.00	$49.11
99495 Transitional care management services for problem of at least moderate complexity	18	18	$228.00	$103.66
90662 Influenza vaccine split virus, preservative free	16	16	$40.00	$39.20
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	16	15	$82.00	$64.33
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$212.00	$118.99
99496 Transitional care management services for problem of high complexity	14	14	$320.00	$150.11
G0008 Administration of influenza virus vaccine	11	11	$30.00	$18.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,852	699	$146.00	$73.86
G0442 Annual alcohol misuse screening, 5 to 15 minutes	682	682	$40.00	$8.95
99497 Advance care planning, first 30 minutes	679	679	$80.65	$72.07
G0444 Annual depression screening, 5 to 15 minutes	648	648	$40.00	$8.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	620	620	$158.00	$105.71
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	451	149	$114.00	$30.21
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	87	71	$114.00	$38.84
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	82	22	$50.00	$41.54
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	80	41	$114.00	$48.93
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	58	50	$89.00	$49.02
99495 Transitional care management services for problem of at least moderate complexity	56	49	$228.00	$103.77
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	56	37	$80.00	$37.55
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	39	37	$43.00	$8.02
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$98.00	$48.08
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	22	20	$38.00	$11.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	15	$146.00	$72.01
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	21	14	$58.00	$24.61
69210 Removal of impacted ear wax	12	12	$123.63	$30.84
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$232.00	$156.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$158.00	$105.71

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MS 10783

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00115668 (MS)

Hospital & Practice Group Affiliations

Medical Foundation Of Central Mississippi Inc

1200 N State St, Jackson, MS 392022027

Phone: 6013522273

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Business Mailing Address March 15, 2018

Registered at 965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 381209446 (Tel: 9012273255)

✅

NPI Profile Active March 09, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 09, 2017

Registered at 1200 N STATE ST, SUITE 500, JACKSON, MS 392022000 (Tel: 6013522273)

📍

Updated Business Mailing Address March 09, 2017

Registered at 1600 N STATE ST, SUITE 400, JACKSON, MS 392021689 (Tel: 6019441717)

👤

Provider Name / Credentials Updated March 09, 2017

Recorded as SAMUEL PEEPLES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2017

Internal Medicine (License #10783 in MS)

✅

NPI Profile Active August 25, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 25, 2015

Registered at 1200 N STATE ST, SUITE 500, JACKSON, MS 392022000 (Tel: 6013522273)

📍

Updated Business Mailing Address August 25, 2015

Registered at 1600 N STATE ST, SUITE 400, JACKSON, MS 392021689 (Tel: 6019441717)

👤

Provider Name / Credentials Updated August 25, 2015

Recorded as SAMUEL PEEPLES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2015

Internal Medicine (License #10783 in MS)

🟢

Initial NPI Registration & Enumeration November 14, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1659443836

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 14, 2006

Last Update: March 15, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

965 Ridge Lake Blvd Ste 103

Memphis, TN 381209446

Phone: 9012273255

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.