Martha Nan Hawkes Php
Clinical Neuropsychologist in Germantown, TN. Organization (NPI-2).
NPI number1477544997
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1477544997
- Entity type
- Organization (NPI-2)
- Legal business name
- Martha Nan Hawkes Php
- Organization subpart
- No
- Enumeration date
- Nov 3, 2005
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | P0000001132 | TN | Yes |
Other names
- The Medical Psychology Group (Doing Business As)
Practice location
7655 Poplar AveSuite 365
Germantown, TN 38138-3957
Phone 901-751-3571 · Fax 901-751-3572
Mailing address
7655 Poplar AveSuite 365
Germantown, TN 38138-3957
Phone 901-751-3571 · Fax 901-751-3572
Authorized official
Martha Nan Hawkes
Neuropsychologist
9017513571
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