Mr. Madison D Pettigrew
MSN, APN, PMHNP-BC | Nurse Practitioner | 5+ years Exp
8130 Country Village Dr Ste 103, Cordova
Tennessee, 38016-2087
901-308-2915
Mr. Madison D Pettigrew is a Cordova, Tennessee based nurse practitioner with 5 years of experience in Nurse Practitioner. 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 with specialization in Nurse Practitioner 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 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 |
| Phone: | 901-308-2915 |
| Fax: | 901-308-2924 |
Professional Identification Codes:
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:
Patients can read all the reviews posted for Mr. Madison D Pettigrew below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Mr. Madison D Pettigrew. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.