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CONNOR LOGAN MD
NPI 1225867369
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since July 29, 2024PECOS Enrolled
920 MADISON AVE SUITE 447, MEMPHIS, TN 38163(901) 448-2884(901) 448-1684 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2025, Jul 29, 2024 (2 updates tracked since 2024).

About Connor Logan Md NPPES

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

CONNOR LOGAN MD (NPI 1225867369) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225867369
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCONNOR LOGANCredential: MD
Location Address920 MADISON AVE SUITE 447Memphis, TN 38163-2251
Mailing Address920 Madison Ave Fl 2Memphis, TN 38163-2251 · Fax (901) 448-1684
Phone(901) 448-2884
Fax(901) 448-1684
Sole ProprietorNo
Enumeration DateJuly 29, 2024
Last NPPES UpdateMay 30, 20252 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
✔ NPI 1225867369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
920 MADISON AVE SUITE 447, Memphis, TN 38163
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connor Logan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 18

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

VENKATA SATHYA BURLE
Student in an Organized Health Care Education/Training Program
920 MADISON AVE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-5814
DINAH CHRISTIE BATCHELOR
Pediatrics (Pediatric Nephrology)
920 MADISON AVE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 287-6034
KAILAH YOUNG
Student in an Organized Health Care Education/Training Program
920 MADISON AVE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 287-6765
DARIA AKSIONAV MD
Student in an Organized Health Care Education/Training Program
920 MADISON AVE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-5814
ALYSE SOILEAU MINTON MD
Student in an Organized Health Care Education/Training Program
920 MADISON AVE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-5814
MATTHEW LOUIS ROMINE
Student in an Organized Health Care Education/Training Program
920 MADISON AVE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-7635
MATIAS HECTOR OLIVARES MD
Student in an Organized Health Care Education/Training Program
920 MADISON AVE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-5814
ERIN NICOLE LAWRENCE
Student in an Organized Health Care Education/Training Program
920 MADISON AVE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 287-6756

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 Connor Logan's NPI number?

The NPI number for Connor Logan is 1225867369. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Connor Logan located?

Connor Logan practices at 920 Madison Ave Suite 447, Memphis, TN 38163. The listed phone number is (901) 448-2884.

What is Connor Logan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Connor Logan enrolled in Medicare?

Yes. Connor Logan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connor Logan was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.