KERSHAW PRIMARY CARE AND WEIGHT LOSS, LLC
NPI 1013525187
Nurse Practitioner - Primary Care in Memphis, TN

Active since July 15, 2020CLIA 44D2202118 · Waiver
6005 PARK AVE STE 826B, MEMPHIS, TN 38119(901) 519-4680 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2025, Feb 25, 2021, Jul 15, 2020 (3 updates tracked since 2020).

About Kershaw Primary Care And Weight Loss, Llc NPPES

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

KERSHAW PRIMARY CARE AND WEIGHT LOSS, LLC (NPI 1013525187), doing business as Kershaw Primary Care And Weight Loss, is a healthcare organization registered as a primary care in Memphis, Tennessee and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through November 23, 2026 and lists Valarie Kershaw-berry, Over/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1013525187
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameKERSHAW PRIMARY CARE AND WEIGHT LOSS, LLC
Location Address6005 PARK AVE STE 826BMemphis, TN 38119-5223
Mailing Address6005 Park Ave Ste 826bMemphis, TN 38119-5223 · (901) 607-1292
Organization SubpartNo
Authorized OfficialValarie Kershaw-berryOver/nurse Practitioner · (662) 902-9883
Enumeration DateJuly 15, 2020
Last NPPES UpdateMay 13, 20253 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
NPI 1013525187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
6005 PARK AVE STE 826B, Memphis, TN 38119

Other Names 1

Doing Business AsKershaw Primary Care And Weight Loss

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

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 44D2202118

Kershaw Primary Care And Weightloss LLC · Memphis, TN
Active · expires Nov 23, 2026
CLIA Number44D2202118
Laboratory TypePhysician Office
Certificate Effective DateNovember 24, 2024
Certificate Expiration DateNovember 23, 2026
Laboratory DirectorValarie Kershaw-Berry
Laboratory Phone(901) 519-4678
Laboratory LocationKershaw Primary Care And Weightloss LLC6005 Park Ave Suite 826B, Memphis, TN 38119
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
6005 PARK AVE STE 826B
MEMPHIS, TN 38119

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 Kershaw Primary Care And Weight Loss, LLC's NPI number?

The NPI number for Kershaw Primary Care And Weight Loss, LLC is 1013525187. It was assigned to this organization in the NPPES registry on July 15, 2020. The provider is doing business as Kershaw primary care and weight loss.

Where is Kershaw Primary Care And Weight Loss, LLC located?

Kershaw Primary Care And Weight Loss, LLC is located at 6005 Park Ave Ste 826B, Memphis, TN 38119. The listed phone number is (901) 519-4680.

What is Kershaw Primary Care And Weight Loss, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Kershaw Primary Care And Weight Loss, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2202118) is associated with this NPI, valid through November 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kershaw Primary Care And Weight Loss, LLC was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.