Gastroenterology Center of the Midsouth PLLC
NPI 1417932492 · Gastroenterology Physician · Germantown, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gastroenterology Center of the Midsouth PLLC is a Gastroenterology Physician organization in Germantown, TN (NPI 1417932492).
Provider details
- NPI number
- 1417932492
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristina Materna, Director, Credentialing(901) 377-8219
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Certified Registered Nurse Anesthetist367500000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
16 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Associates in Gastroenterology
- Doing business as
- Digestive Health Specialists
- Doing business as
- Gastro One
- Doing business as
- Gastroenterology Associates of North Mississippi
- Doing business as
- Gastroenterology Associates of North Mississippi
- Doing business as
- Midstate Gastroenterology
- Doing business as
- Skyline Gastroenterology of West Tennessee
Additional practice locations (15)
- 825 W Monroe St Ste 2Grenada, MS 38901-5042Phone: (662) 234-9888
- 200 State Highway 30 WNew Albany, MS 38652-3112Phone: (662) 234-9888
- 1210 Office Park DrOxford, MS 38655-3606Phone: (662) 234-9888
- 1208 Office Park DrOxford, MS 38655-3597Phone: (662) 234-9888
- 7900 Airways Blvd Bldg B Ste 100Southaven, MS 38671-4116Phone: (662) 349-6950
- 589 Garfield St Ste 201Tupelo, MS 38801-6301Phone: (662) 680-5565
- 3350 N Germantown RdBartlett, TN 38133-4026Phone: (901) 337-7211
- 51 Germantown Ct Ste 309Cordova, TN 38018-4290Phone: (901) 333-0510
- 1324 Wolf Park DrGermantown, TN 38138-1741Phone: (901) 755-9110Fax: (901) 755-4321
Registry dates
- Enumerated
- 2005-12-13
- Last updated
- 2026-02-03
- Certified
- 2026-02-03
Frequently asked questions
- What is Gastroenterology Center of the Midsouth PLLC's NPI number?
- Gastroenterology Center of the Midsouth PLLC's National Provider Identifier (NPI) is 1417932492, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gastroenterology Center of the Midsouth PLLC?
- Gastroenterology Center of the Midsouth PLLC is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Gastroenterology Center of the Midsouth PLLC located?
- Gastroenterology Center of the Midsouth PLLC's practice location on file with NPPES is 8000 Wolf River Blvd Ste 200, Germantown, TN 38138-1755.
- What is Gastroenterology Center of the Midsouth PLLC's phone number?
- The practice phone number listed in the NPPES registry for Gastroenterology Center of the Midsouth PLLC is (901) 747-3630.
- Does Gastroenterology Center of the Midsouth PLLC accept Medicare?
- Gastroenterology Center of the Midsouth PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Gastroenterology Center of the Midsouth PLLC?
- The authorized official listed on Gastroenterology Center of the Midsouth PLLC's NPPES record is Kristina Materna, Director, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gastroenterology Center of the Midsouth PLLC's NPI active?
- Yes — Gastroenterology Center of the Midsouth PLLC's NPI (1417932492) is active in the NPPES registry as of the last update on 2026-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.