Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

North Star Institute for Autism and Related Conditions

Organization Pediatric Neurodevelopmental Disabilities Physician · NPI 1134749526

North Star Institute for Autism and Related Conditions provides Pediatric Neurodevelopmental Disabilities Physician services in Cordova, Tennessee. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1138 N Germantown Pkwy Ste 101-120
Cordova, TN 38016-5872
Phone: (901) 468-3366
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Neurodevelopmental Disabilities Physician (primary) Taxonomy 2080P0008X

Record details

NPI number1134749526
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanjala Gipson — Founder/Ceo · (901) 468-3366
NPI enumeratedApril 25, 2020
Last updated in NPPESApril 25, 2020
Certification dateApril 25, 2020
Mailing address1138 N Germantown Pkwy Ste 101-120, Cordova, TN 38016-5872