OrganizationActive
North Star Institute for Autism and Related Conditions
NPI 1134749526 · Pediatric Neurodevelopmental Disabilities Physician · Cordova, TN
Provider details
- NPI number
- 1134749526
- Entity type
- Organization
- Primary specialty
- Pediatric Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tanjala Gipson, Founder/Ceo(901) 468-3366
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1138 N Germantown Pkwy Ste 101-120
Cordova, TN 38016-5872
Phone: (901) 468-3366
Approximate (ZIP-level) locationGet directions
Mailing address
1138 N Germantown Pkwy Ste 101-120
Cordova, TN 38016-5872
Registry dates
- Enumerated
- 2020-04-25
- Last updated
- 2020-04-25
- Certified
- 2020-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.