1528617768 NPI number — MSK GROUP, PC

Table of content: JAMES L. HELMERS M.D. (NPI 1609864230)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528617768 NPI number — MSK GROUP, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MSK GROUP, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528617768
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/02/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6077 PRIMACY PKWY STE 140
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MEMPHIS
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38119-5754
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
901-725-8347
Provider Business Mailing Address Fax Number:
901-259-7637

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1995 HIGHWAY 51 S STE 208
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COVINGTON
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38019-3660
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-641-3000
Provider Business Practice Location Address Fax Number:
901-767-8666
Provider Enumeration Date:
09/10/2019

Additional Information

Authorized Official

Authorized Official Last Name:
RUSCITTO
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
901-641-3000

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 09773736 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".




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