1. Home
  2. Directory
  3. Tennessee
  4. Memphis
  5. Emergency Medicine
  6. NPI Profile

NATHAN RUSSELL STANFORD MD
NPI 1114556107
Emergency Medicine in Memphis, TN

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
920 MADISON AVE # 447, MEMPHIS, TN 38103(901) 448-5364 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 14, 2024, Jan 18, 2023, Jun 24, 2020 and 1 more (4 updates tracked since 2020).

About Nathan Russell Stanford Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN RUSSELL STANFORD MD (NPI 1114556107) is an individual emergency medicine provider in Memphis, Tennessee, licensed in Tennessee (64804) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital - Carroll County, and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1114556107
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameNATHAN RUSSELL STANFORDCredential: MD
Location Address920 MADISON AVE # 447Memphis, TN 38103-3438
Mailing Address920 Madison Ave # 447Memphis, TN 38103-3438 · (901) 516-7509
Phone(901) 448-5364
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2020
Enumeration DateApril 2, 2020
Last NPPES UpdateMay 14, 20244 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1114556107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TN · 64804
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
920 MADISON AVE # 447, Memphis, TN 38103
Open in Google Maps ↗

Secondary Practice Location 1

Location 1877 Jefferson AveMemphis, TN 38103-2807 · Phone (901) 545-8699 · Fax (901) 545-8996

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathan Russell Stanford Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557747789
PECOS Enrollment IDI20220926002019, I20250128001084
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Nathan Stanford reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ut Regional One Physicians Inc
0.2 mi
Surgery
877 JEFFERSON AVE
Memphis, TN 38103
  • Reassigned Medicare billing, Tennessee enrollment
  • 421 clinicians in this Medicare group
NPI 1093130585 (901) 545-8336
T M Carr MD PC
72 mi
Emergency Medicine
400 E TICKLE ST
Dyersburg, TN 38024
  • Reassigned Medicare billing, Tennessee enrollment
  • 256 clinicians in this Medicare group
NPI 1992706097 (731) 285-2410
Carr PLLC
191 mi
Emergency Medicine
5410 MARYLAND WAY STE 300
Brentwood, TN 37027
  • Reassigned Medicare billing, Tennessee enrollment
  • 208 clinicians in this Medicare group
NPI 1548677610 (615) 377-5593
Emergency Coverage, LLC
390 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Tennessee enrollment
  • 664 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Southeastern Emergency Physicians LLC
421 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,071 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311
Emergency Physicians Integrated Care, LLC
1,250 mi
Emergency Medicine
1050 E SOUTH TEMPLE
Salt Lake City, UT 84102
  • Reassigned Medicare billing, Utah enrollment
  • 316 clinicians in this Medicare group
NPI 1578598199 (801) 350-4111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
392 services387 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
114 services101 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
87 services87 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
74 services73 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
29 services29 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Memorial Hospital - Carroll County

Acute Care Hospitals · Huntingdon, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440016
Location631 Rb Wilson DrHuntingdon, TN 38344 · Carroll County
Emergency services

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Baptist Memorial Hospital Union City

Acute Care Hospitals · Union City, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440130
Location1201 Bishop St, PO Box 310Union City, TN 38261 · Obion County
Emergency services Birthing friendly

Timpanogos Regional Hospital

Acute Care Hospitals · Orem, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460052
Location750 West 800 NorthOrem, UT 84057 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GWYNETH A SULLIVAN
Student in an Organized Health Care Education/Training Program
920 MADISON AVE # 447
MEMPHIS, TN 38103
Shelby County (901) 448-5364
DR. GHAIDA KHALAF ZAID MD
Student in an Organized Health Care Education/Training Program
920 MADISON AVE # 447
MEMPHIS, TN 38103
Shelby County (901) 448-5364
BENJAMIN JOSEPH NELSON MD
Student in an Organized Health Care Education/Training Program
920 MADISON AVE # 447
MEMPHIS, TN 38103
Shelby County (901) 448-3714
IRVING DELGADO-ARELLANES B.S.
Student in an Organized Health Care Education/Training Program
920 MADISON AVE # 447
MEMPHIS, TN 38103
Shelby County (901) 448-5364
DR. MICHAEL BERTOLIO DO
Student in an Organized Health Care Education/Training Program
920 MADISON AVE # 447
MEMPHIS, TN 38103
Shelby County (435) 512-0612
DR. DESHON HAUGHTON
Student in an Organized Health Care Education/Training Program
920 MADISON AVE # 447
MEMPHIS, TN 38103
Shelby County (901) 448-5814
CHRISTOPHER SEAN PURDY JR. MD
Student in an Organized Health Care Education/Training Program
920 MADISON AVE # 447
MEMPHIS, TN 38103
Shelby County (901) 448-5814

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Stanford's NPI number?

The NPI number for Nathan Stanford is 1114556107. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Nathan Stanford located?

Nathan Stanford practices at 920 Madison Ave # 447, Memphis, TN 38103. The listed phone number is (901) 448-5364.

What is Nathan Stanford's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nathan Stanford enrolled in Medicare?

Yes. Nathan Stanford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nathan Stanford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Stanford reassigns Medicare benefits to 6 organizations: Ut Regional One Physicians Inc (Memphis, TN), T M Carr MD PC (Dyersburg, TN), Carr PLLC (Brentwood, TN), Emergency Coverage, LLC (Newport, TN), Southeastern Emergency Physicians LLC (Maysville, KY) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathan Stanford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathan Stanford accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Nathan Stanford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nathan Stanford affiliated with any hospitals?

According to CMS data, Nathan Stanford is affiliated with Baptist Memorial Hospital - Carroll County, Baptist Memorial Hospital, Baptist Memorial Hospital Union City and Timpanogos Regional Hospital.

When was this NPI record last updated?

The NPPES record for Nathan Stanford was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.