MEDICARE: MEMPHIS VAMC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QV0200X	VA Clinic/Center

General Provider Information

NPI Number	:	1518817113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEMPHIS VAMC

Provider Business Mailing Address
First Line	:	PO BOX 94511
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44101-4511
Country	:	US
Telephone Number	:	615-355-3451
Fax Number	:

Provider Business Practice Location Address
First Line	:	4963 W UNION RD
Second Line	:
City	:	MILLINGTON
State	:	TN
Zip	:	38053-4426
Country	:	US
Telephone Number	:	615-355-3451
Fax Number	:

Authorized Official
Title or Position	:	NPI TEAM
Name	:	ERIN DENISE POTTER
Credential	:
Telephone Number	:	202-382-2579

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “MEMPHIS VAMC ” Practice Location

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