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

Breyocha Dewalt, NP

Individual provider Critical Care Medicine Registered Nurse · NPI 1548045263

Breyocha Dewalt, NP is a Nurse Practitioner in Memphis, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2023, 3 years ago. Practices with Specialty Physician Group LLC, a 101-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
3
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2023
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1211 Union Ave Ste 965
Memphis, TN 38104-6638
Phone: (901) 435-8550
Fax: (901) 478-0781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1251 Wesley Dr Ste 153, Memphis, TN 38116-6443 — (901) 435-8550

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 34590 (TN)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 0000223825 (TN)

Record details

NPI number1548045263
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 30, 2023
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023
Mailing addressPo Box 1000, Dept 960, Memphis, TN 38148-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Specialty Physician Group Llc — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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