PREVENTIVEMD, PLLC
NPI 1003648890
Internal Medicine in Memphis, TN

Active since August 19, 2024
1407 UNION AVE STE 305, MEMPHIS, TN 38104(901) 609-2444 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 5, 2024, Aug 19, 2024 (2 updates tracked since 2024).

About Preventivemd, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREVENTIVEMD, PLLC (NPI 1003648890) is a healthcare organization registered as an internal medicine in Memphis, Tennessee and active in the NPI registry since August 2024. The organization maintains a secondary practice location in Memphis and lists Todd V Robinson, Member, as its authorized official.

NPPES Registry Identity

NPI1003648890
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePREVENTIVEMD, PLLC
Location Address1407 UNION AVE STE 305Memphis, TN 38104-3615
Mailing Address1407 Union Ave Ste 305Memphis, TN 38104-3615 · (901) 609-2444
Organization SubpartNo
Authorized OfficialTodd V RobinsonMember · (901) 218-6771
Enumeration DateAugust 19, 2024
Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1003648890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
1407 UNION AVE STE 305, Memphis, TN 38104

Secondary Practice Location 1

Location 14066 Summer AveMemphis, TN 38122-5262 · Phone (901) 609-2444

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Preventivemd, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Preventivemd, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1447271291
4066 SUMMER AVE
Memphis, TN 38122
(901) 452-7391
✔ PECOS✔ Accepts Medicare5.2 mi
Internal Medicine
NPI 1700889649
4066 SUMMER AVE
Memphis, TN 38122
(901) 452-7391
✔ PECOS5.2 mi
Internal Medicine
NPI 1831291533
1714 W MASSEY RD
Memphis, TN 38120
(901) 685-5520
✔ PECOS✔ Accepts Medicare9.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Preventivemd, PLLC's NPI number?

The NPI number for Preventivemd, PLLC is 1003648890. It was assigned to this organization in the NPPES registry on August 19, 2024.

Where is Preventivemd, PLLC located?

Preventivemd, PLLC is located at 1407 Union Ave Ste 305, Memphis, TN 38104. The listed phone number is (901) 609-2444.

What is Preventivemd, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Preventivemd, PLLC enrolled in Medicare?

Yes. Preventivemd, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Preventivemd, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Internal Medicine, reassign their Medicare billing to Preventivemd, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Preventivemd, PLLC was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.