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

Individual provider Physician Assistant · NPI 1790341311

Thomas Shapaker, PA is a Physician Assistant in Memphis, Tennessee. Qualified in 2019, 7 years ago. Practices with Memphis Lung Physicians Foundation, Inc, a 57-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6025 Walnut Grove Rd Ste 508
Memphis, TN 38120-2125
Phone: (901) 570-2442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 401 Southcrest Cir Ste 212, Southaven, MS 38671-6721 — (662) 349-0488

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 3898 (TN)

Record details

NPI number1790341311
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 20, 2019
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022
Mailing address2120 Exeter Rd, Ste 250, Germantown, TN 38138-3931

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Memphis Lung Physicians Foundation, Inc. — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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