CARMISHIA N LOWERY P.A
NPI 1366670309
Physician Assistant - Medical in Memphis, TN

NPI Status: Active since June 29, 2009

Contact Information

1300 WESLEY DR
MEMPHIS, TN
ZIP 38116
Phone: (901) 516-5741
Fax: (901) 516-5986

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  • Individual
  • Female
  • Years of Experience 17
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About CARMISHIA LOWERY

This page provides the complete NPI Profile along with additional information for Carmishia Lowery, a primary care provider established in Memphis, Tennessee with a medical specialization in Physician Assistant, focusing in medical and more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1366670309 assigned on June 2009. The practitioner's primary taxonomy code is 363AM0700X with license number 2745 (TN). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1366670309
Provider Name
CARMISHIA N LOWERY P.A
Gender
Female
Entity Type
Individual
Location Address
1300 WESLEY DR MEMPHIS, TN 38116
Location Phone
(901) 516-5741
Location Fax
(901) 516-5986
Mailing Address
1211 UNION AVE STE 330 MEMPHIS, TN 38104
Medical School Name
OTHER
Graduation Year
2009
Is Sole Proprietor?
No
Enumeration Date
06-29-2009
Last Update Date
06-03-2025
Code Navigator

A primary care provider (PCP) like Carmishia Lowery sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
2745
License State
TN

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

085003475 (IL)
2363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

PA00601 (MS)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Classic Standard - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Gold Classic Standard - HMO
  • Silver Classic Standard - HMO
  • Silver Simple - HMO
  • Silver Simple Chronic Care CKM - HMO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Simple - EPO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - EPO
  • Bronze Simple Chronic Care CKM - EPO
  • Bronze Simple Diabetes - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - EPO
  • Silver Simple Chronic Care CKM - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple PCP Saver - EPO
  • Silver Simple Women's Health with Menopause Benefits - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1316221294OTHER (01)ILMEDICARE

Medicare Participation & PECOS Enrollment Status

Carmishia Lowery is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Carmishia Lowery is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5698827129

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20191023003388

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 18 times for 18 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 11 times for 11 patients

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1366670309, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 1 + 2 + 7 + 0 + 3 + 0 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1366670309.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Acute Care)
1300 WESLEY DR
MEMPHIS, TN 38116
Nurse Practitioner (Acute Care)
1300 WESLEY DR
MEMPHIS, TN 38116
Internal Medicine
1300 WESLEY DR
MEMPHIS, TN 38116
Nurse Practitioner (Family)
1300 WESLEY DR
MEMPHIS, TN 38116
Nurse Practitioner (Family)
1300 WESLEY DR
MEMPHIS, TN 38116
Internal Medicine (Medical Oncology)
1300 WESLEY DR
MEMPHIS, TN 38116
Nurse Practitioner (Acute Care)
1300 WESLEY DR
MEMPHIS, TN 38116
Internal Medicine
1300 WESLEY DR
MEMPHIS, TN 38116
Internal Medicine
1300 WESLEY DR
MEMPHIS, TN 38116
Nurse Practitioner (Family)
1300 WESLEY DR
MEMPHIS, TN 38116
Internal Medicine
1300 WESLEY DR
MEMPHIS, TN 38116
Emergency Medicine
1300 WESLEY DR
MEMPHIS, TN 38116
Nurse Practitioner (Acute Care)
1300 WESLEY DR
MEMPHIS, TN 38116
Physician Assistant
1300 WESLEY DR
MEMPHIS, TN 38116
Physician Assistant
1300 WESLEY DR
MEMPHIS, TN 38116
Nurse Practitioner
1300 WESLEY DR
MEMPHIS, TN 38116
Nurse Practitioner
1300 WESLEY DR
MEMPHIS, TN 38116
Emergency Medicine
1300 WESLEY DR
MEMPHIS, TN 38116
Internal Medicine
1300 WESLEY DR
MEMPHIS, TN 38116
Internal Medicine
1300 WESLEY DR
MEMPHIS, TN 38116

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366670309, enumerated as an "individual" on June 29, 2009.

The provider is located at 1300 WESLEY DR MEMPHIS, TN 38116 and the phone number is (901) 516-5741.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Oscar Health Plan, Inc., Oscar Insurance Company,. Please consult your insurance carrier or call the provider to verify.