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

Nicholas Pelliccio, MD

Individual provider Surgery Physician · NPI 1598297244

Nicholas Pelliccio, MD is a Vascular Surgery in Memphis, Tennessee. Graduated from Louisiana State University School of Medicine in Shreveport in 2017, 9 years ago. Practices with Baptist Memorial Medical Group, Inc, a 571-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
9
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
MS
In the registry since
2017
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

6025 Walnut Grove Rd Ste 301
Memphis, TN 38120-2123
Phone: (901) 226-0458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8138 Country Village Dr, Cordova, TN 38016-2029 — (901) 725-8606
  • 2100 Exeter Rd, Germantown, TN 38138-3966 — (901) 757-1350

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 33099 (MS)
Surgery Physician Taxonomy 208600000X · Licence 33099 (MS)

Record details

NPI number1598297244
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 31, 2017
Last updated in NPPESJuly 28, 2024
Certification dateJuly 28, 2024
Mailing address965 Ridge Lake Blvd, Memphis, TN 38120-9401

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2017 (9 years in practice)
Group practice Baptist Memorial Medical Group, Inc. — 571 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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