Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
SUPERIORCARE MEDICAL GROUP LLC
Active
Organization
SUPERIORCARE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA LUCKETT FNP (MEMBER)
(662) 403-7741
Entity
Organization
Contact information
Practice address
1175 VICKERY LN STE 101, CORDOVA, TN 38016-0682
(662) 408-6995
Mailing address
3750 HACKS CROSS RD # 102-202, MEMPHIS, TN 38125-2367
(662) 408-6995
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
08/22/2023
Last updated
12/11/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up