Memphis & Shelby County Pediatric Group
Pediatric Adolescent Medicine
Memphis & Shelby County Pediatric Group is a Memphis, Tennessee based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
6479 Winchester Rd, Suite 118, Memphis, Tennessee - 38115-4240. They can be contacted on phone at
901-866-2133 and fax number 901-866-2136.
NPI number (Unique professional ID) for Memphis & Shelby County Pediatric Group is
1487797536 which was assigned by NPPES on 15 Feb, 2007 and it was last updated on 22 Aug, 2020.
Memphis & Shelby County Pediatric Group specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Memphis & Shelby County Pediatric Group basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Memphis & Shelby County Pediatric Group |
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Business Address:
Memphis & Shelby County Pediatric Group address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6479 Winchester Rd, Suite 118
Memphis, TN, 38115-4240
United States |
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| Phone Number : | 901-866-2133 |
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| Fax Number : | 901-866-2136 |
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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.
| NPI Number : | 1487797536 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 15 Feb, 2007 |
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| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Katherine Carter |
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| Official Title or Position : | BILLING SUPERVISOR |
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| Phone Number : | 901-396-8366 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Memphis & Shelby County Pediatric Group are as mentioned. Primary taxonomy code for Memphis & Shelby County Pediatric Group is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Memphis & Shelby County Pediatric Group such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 117847 | Other | TN | UNISON |
| 5598466 | Other | TN | AETNA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1444 E Shelby Dr, Suite 317
Memphis, TN, 38116-7260
United States |
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| Phone Number : | 901-396-8281 |
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Business Location:
Patients can refer following map for directions to
Memphis & Shelby County Pediatric Group practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.