Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

North Star Institute for Autism and Related Conditions

Organization Pediatric Neurodevelopmental Disabilities Physician · NPI 1134749526

North Star Institute for Autism and Related Conditions is a Pediatric Neurodevelopmental Disabilities Physician in Cordova, Tennessee. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1138 N Germantown Pkwy Ste 101-120
Cordova, TN 38016-5872
Phone: (901) 468-3366
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Neurodevelopmental Disabilities Physician (primary) Taxonomy 2080P0008X

Record details

NPI number1134749526
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanjala Gipson — Founder/Ceo · (901) 468-3366
NPI enumeratedApril 25, 2020
Last updated in NPPESApril 25, 2020
Certification dateApril 25, 2020
Mailing address1138 N Germantown Pkwy Ste 101-120, Cordova, TN 38016-5872