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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972319556

John Gallina, PHYSICIANASSISTANT is a Physician Assistant in Memphis, Tennessee. Qualified in 2024, 2 years ago. Licensed in Tennessee.

Years since qualifying
2
Licensed in
TN
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1211 Union Ave Ste 300
Memphis, TN 38104-6655
Phone: (901) 272-6018
Fax: (901) 201-4203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 7273 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972319556
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedDecember 9, 2024
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026
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 specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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