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PREVENTIVEMD, PLLC
NPI 1003648890
Internal Medicine in Memphis, TN

Active since August 19, 2024CLIA 44D2312242 · Waiver
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: July 26, 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 holds a CLIA Waiver certificate valid through October 7, 2026, 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
Phone(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
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2312242

Preventivemd PLLC · Memphis, TN
Active · expires Oct 7, 2026
CLIA Number44D2312242
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorTodd V. Robinson
Laboratory Phone(901) 609-2444
Laboratory LocationPreventivemd PLLC4066 Summer Ave, Memphis, TN 38122
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Does Preventivemd, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2312242) is associated with this NPI, valid through October 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Preventivemd, PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Preventivemd, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Preventivemd, PLLC was last updated on September 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.