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SHELBY COUNTY PHYSICIANS PLLC NPI 1871051474


NPI Information

NPI: 1871051474
Provider Name: SHELBY COUNTY PHYSICIANS, PLLC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 44D2048177

Address:
6500 KIRBY GATE BLVD
MEMPHIS, TN
ZIP 38119
Phone: (901) 752-0772
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SHELBY COUNTY PHYSICIANS, PLLC is a geriatric medicine family medicine in Memphis, TN. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. SHELBY COUNTY PHYSICIANS, PLLC NPI is 1871051474. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6500 KIRBY GATE BLVD
MEMPHIS, TN
ZIP 38119-673
Phone: (901) 752-0772

The provider's authorized official is Lisa Rose Hale .
The authorized official title is Director Of Credentialing and has the following contact phone number (770) 874-5439.

The CLIA number assigned to this NPI record is 44D2048177 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/4/2019 and was last updated on 3/4/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric MedicineNo
2208100000XPhysical Medicine & RehabilitationNo
3207QG0300XFamily MedicineGeriatric MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.