Provider Demographics
NPI:1548229131
Name:HEALTHQUEST PC
Entity Type:Organization
Organization Name:HEALTHQUEST PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:REGGIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:GLENN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-308-2915
Mailing Address - Street 1:8130 COUNTRY VILLAGE DR STE 102
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-2087
Mailing Address - Country:US
Mailing Address - Phone:901-308-2915
Mailing Address - Fax:901-308-2924
Practice Address - Street 1:8130 COUNTRY VILLAGE DR STE 102
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-2087
Practice Address - Country:US
Practice Address - Phone:901-308-2915
Practice Address - Fax:901-308-2924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2084P0800X
TN153431041C0700X
TN1000000009329261QM0850X, 261QM0855X
TNNA2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK120574001Medicaid
MS3700336Medicaid
MS00010689Medicaid
TN3161722Medicaid
TN3700336Medicaid
AK120573001Medicaid
TN3700336Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
TN3161723Medicare ID - Type UnspecifiedERNEST BRITTON, MD
TN3007300Medicare ID - Type UnspecifiedTEJINDER SAINI TN MCR NUM
TN3161722Medicaid
MS260000640Medicare ID - Type UnspecifiedTEJINDER SAINI MD
TNA97192Medicare UPIN
TN3021142Medicare ID - Type UnspecifiedASHOK RAO MD
MS00010689Medicaid
TNB58944Medicare UPIN
TNB02898Medicare UPIN