Mr. Madison D Pettigrew is a Cordova, Tennessee based nurse practitioner with 5 years of experience in . He completed his graduation in 2020. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Madison D Pettigrew is 28484 for Psych/Mental Health in Tennessee. His current practice location is 8130 Country Village Dr Ste 103, Cordova. Patients can reach him at 901-308-2915 or can fax him at 901-308-2924. Mr. Madison D Pettigrew is MSN, APN, PMHNP-BC and his NPI number (Unique professional ID assigned by NPPES) is 1912211764. Mr. Madison D Pettigrew has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mr. Madison D Pettigrew speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mr. Madison D Pettigrew
Specialization:
Nurse Practitioner (NP)
Gender:
Male
Credentials:
MSN, APN, PMHNP-BC
Experience:
5+ years
Medical School Attended:
Other
Graduation Year:
2020
Accepts Medicare Assignment:
Yes
Practice Address:
8130 Country Village Dr Ste 103, Cordova, Tennessee, 38016-2087
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4981014230
Enrollment ID:
I20201028000684
NPI Number:
1912211764
NPI Enumeration Date:
04 Aug, 2010
NPI Last Update On:
01 Aug, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Madison D Pettigrew are as mentioned below.
License Number
Specialization
State
Status
28484
Psych/Mental Health
Tennessee
Primary
171949
Registered Nurse
Tennessee
Secondary
904213
Psych/Mental Health
Mississippi
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Madison D Pettigrew is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Healthquest Pc (6406742303)
6
Healthquest Pc (6406742303)
6
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Madison D Pettigrew such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
T24221A
Medicaid
Tennessee
1I5219
Other
Mississippi
MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Madison D Pettigrew 8130 Country Village Dr Ste 102, Cordova, Tennessee
Zip:
38016-2087
Phone Number:
901-308-2915
Fax Number:
901-308-2924
Patients can reach Mr. Madison D Pettigrew at 8130 Country Village Dr Ste 103, Cordova, Tennessee or can call to book an appointment on 901-308-2915.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.