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

Nathan Russell Stanford, MD

Individual provider Emergency Medicine Physician · NPI 1114556107

Nathan Russell Stanford, MD is an Emergency Medicine in Memphis, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2020, 6 years ago. Practices with Southeastern Emergency Physicians LLC, a 786-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
6
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2020
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

920 Madison Ave # 447
Memphis, TN 38103-3438
Phone: (901) 448-5364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 877 Jefferson Ave, Memphis, TN 38103-2807 — (901) 545-8699

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 64804 (TN)

Record details

NPI number1114556107
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2020
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Southeastern Emergency Physicians Llc — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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