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

Jeffrey E Banham, NP

Individual provider Family Nurse Practitioner · NPI 1477078962

Jeffrey E Banham, NP is a Nurse Practitioner in Memphis, Tennessee. Qualified in 2017, 9 years ago. Practices with Primary Care Group, LLC, a 109-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
9
Licensed in
TN
In the registry since
2017
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

2589 Appling Rd Ste 101
Memphis, TN 38133-5099
Phone: (901) 752-2300
Fax: (901) 249-8871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 22959 (TN)

Record details

NPI number1477078962
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 7, 2017
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address1211 Union Ave Ste 330, Memphis, TN 38104-6655

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Primary Care Group, Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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