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

Mariam Elizabeth Mansour, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902434095

Mariam Elizabeth Mansour, MD is a Family Practice in Germantown, Tennessee. Graduated from Texas a & M University System, Hsc, College of Medicine in 2020, 6 years ago. Practices with Campbell Clinic, PC, a 225-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
6
Trained at
Texas a & M University System, Hsc, College of Medicine
Licensed in
TN
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 S Germantown Rd
Germantown, TN 38138-2205
Phone: (901) 759-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 71949 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902434095
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 1, 2020
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolTEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Campbell Clinic, Pc — 225 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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