JOSEPH MICHAEL SUDDERTH
NPI 1619483658
Registered Nurse in Memphis, TN

Q: What is Joseph Sudderth's NPI number?

The NPI number for Joseph Sudderth is 1619483658. It was assigned to this individual provider in the NPPES registry on December 27, 2017.

Q: What is Joseph Sudderth's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Sudderth was last updated on July 17, 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.

Active since December 27, 2017PECOS EnrolledAccepts Medicare Assignment

69.83/100

CMS Quality Rating

6019 WALNUT GROVE RD, MEMPHIS, TN 38120(901) 226-5000 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2024, Dec 27, 2017 (2 updates tracked since 2017).

On this page

About Joseph Michael Sudderth NPPES

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

JOSEPH MICHAEL SUDDERTH (NPI 1619483658) is an individual registered nurse in Memphis, Tennessee, licensed in Tennessee (217268) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1619483658

Entity TypeIndividualMale

Primary Taxonomy163W00000X

Provider Legal NameJOSEPH MICHAEL SUDDERTH

Location Address6019 WALNUT GROVE RDMemphis, TN 38120-2113

Mailing Address34 Franwood CvJackson, TN 38301-3314 · (601) 500-2188

Phone(901) 226-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 27, 2017

Last NPPES UpdateJuly 17, 20242 updates tracked since enumeration

NPPES CertifiedJuly 17, 2024

✔ NPI 1619483658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in TN · 217268

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License 901521 (MS)

6019 WALNUT GROVE RD, Memphis, TN 38120

Open in Google Maps ↗

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

Joseph Michael Sudderth 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 ID5698028371

PECOS Enrollment IDI20181025002853

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

Medicare enrollment records show Joseph Sudderth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

State Of Mississippi-University Of Mississippi Medical Center

94 mi

Family Medicine

965 AVENT DR, SUITE 100A
Grenada, MS 38901

Reassigned Medicare billing, Mississippi enrollment
Also billed through NPI 1831520691 (Mississippi)
1,932 clinicians in this Medicare group

NPI 1932538527 (662) 227-7444

Best Vein Care Of Mississippi, LLC

187 mi

Vascular Surgery

204 W JACKSON ST STE A
Ridgeland, MS 39157

Reassigned Medicare billing, Mississippi enrollment
11 clinicians in this Medicare group

NPI 1104323534 (601) 291-5291

Anesthesia Consultants PA

194 mi

Anesthesiology

1030 RIVER OAKS DR, RIVER OAKS HEALTH SYSTEM
Jackson, MS 39208

Reassigned Medicare billing, Mississippi enrollment
154 clinicians in this Medicare group

NPI 1750300836 (601) 932-1030

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 3

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.

Anesthesia for x-ray or radiation therapy 01922

Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.

16 services16 patients

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

14 services14 patients

Anesthesia for other closed procedure on chest 00520

Anesthesia for a closed chest procedure involves the use of medications to block sensation, ensuring you don't feel pain during the procedure. It can be general (you're asleep) or regional (part of your body is numbed). This helps maintain comfort and safety.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Mississippi Med Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number250001

Location2500 N State StJackson, MS 39216 · Hinds County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

56.08

Promoting Interoperability

Improvement Activities

Cost

48.31

Other Providers at the Same Location NPPES 20

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

JACQUELINE A SALDANA TOVAR

Student in an Organized Health Care Education/Training Program