1. Home
  2. Directory
  3. Tennessee
  4. Memphis
  5. Psychiatry Neurology
  6. NPI Profile

TRI-STATE NEUROLOGY PLLC
NPI 1184788762
Psychiatry & Neurology - Neurology in Memphis, TN

Active since December 20, 2006
5100 SANDERLIN AVE STE 2100, MEMPHIS, TN 38117(901) 820-0141(901) 820-0144 Get Directions Write a Review

NPPES record last updated: November 30, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tri-state Neurology Pllc NPPES

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

TRI-STATE NEUROLOGY PLLC (NPI 1184788762) is a healthcare organization registered as a neurology in Memphis, Tennessee and active in the NPI registry since December 2006. The organization lists James J Wang, President / Owner, as its authorized official.

NPPES Registry Identity

NPI1184788762
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameTRI-STATE NEUROLOGY PLLC
Location Address5100 SANDERLIN AVE STE 2100Memphis, TN 38117-4387
Mailing Address5100 Sanderlin Ave Ste 2100Memphis, TN 38117-4387 · (901) 820-0141 · Fax (901) 820-0144
Phone(901) 820-0141
Fax(901) 820-0144
Organization SubpartNo
Authorized OfficialJames J WangPresident / Owner · (901) 820-0141
Enumeration DateDecember 20, 2006
Last NPPES UpdateNovember 30, 2017
✔ NPI 1184788762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in TN · MD0000030878
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
5100 SANDERLIN AVE STE 2100, Memphis, TN 38117
Open in Google Maps ↗

Other Identifiers 6

Medicare UPING90645TN
Medicaid3838091TN
Medicare ID-Type Unspecified3838091TN
Medicaid138488001AR
Medicaid00126261MS
Medicaid206187502MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tri-state Neurology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Tri-State Neurology PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Rada Petrinjac-Nenadic, M.D.
Neurology
NPI 1891911954
5100 SANDERLIN AVE SUITE 2100
Memphis, TN 38117
(901) 820-0141
✔ PECOS✔ Accepts MedicareSame address
James Wang, MD
Neurology
NPI 1619945532
5100 SANDERLIN AVE STE 2100
Memphis, TN 38117
(901) 820-0141
✔ PECOS✔ Accepts MedicareSame address
Pawan Rawal, M.B.B.S.
Neurology
NPI 1255659009
6029 WALNUT GROVE RD STE 210
Memphis, TN 38120
(901) 226-4910
✔ PECOS✔ Accepts Medicare2.0 mi
Amber Adams, NP
Nurse Practitioner
NPI 1053791616
6570 STAGE RD SUITE 202
Memphis, TN 38134
(901) 213-4225
✔ PECOS✔ Accepts Medicare6.6 mi
Ahmad Al-Hamda, MD
Pediatric Medicine
NPI 1851357586
203 AVALON AVE STE 200
Muscle Shoals, AL 35661
(256) 980-6217
✔ PECOS✔ Accepts Medicare128 mi

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

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 Tri-State Neurology PLLC's NPI number?

The NPI number for Tri-State Neurology PLLC is 1184788762. It was assigned to this organization in the NPPES registry on December 20, 2006.

Where is Tri-State Neurology PLLC located?

Tri-State Neurology PLLC is located at 5100 Sanderlin Ave Ste 2100, Memphis, TN 38117. The listed phone number is (901) 820-0141.

What is Tri-State Neurology PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Tri-State Neurology PLLC enrolled in Medicare?

Yes. Tri-State Neurology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tri-State Neurology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Tri-State Neurology PLLC. A 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 the clinician's services. The largest specialties are Neurology (3), Nurse Practitioner (1) and Pediatric Medicine (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tri-State Neurology PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Tri-State Neurology PLLC 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.

When was this NPI record last updated?

The NPPES record for Tri-State Neurology PLLC was last updated on November 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.