WEST CLINIC PC
NPI 1023180478
Specialist in Collierville, TN

Active since November 14, 2006CLIA Certified · 2 labs
1500 W POPLAR AVE, SUITE 304, COLLIERVILLE, TN 38017(901) 850-1456(901) 850-5830 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About West Clinic Pc NPPES

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

WEST CLINIC PC (NPI 1023180478) is a healthcare organization registered as a specialist in Collierville, Tennessee and active in the NPI registry since November 2006. The organization holds 2 active CLIA laboratory certificates and lists Ronald O Davis, Cfo, as its authorized official.

NPPES Registry Identity

NPI1023180478
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWEST CLINIC PC
Location Address1500 W POPLAR AVE, SUITE 304Collierville, TN 38017-0601
Mailing Address100 N Humphreys BlvdMemphis, TN 38120-2146 · (901) 683-0055 · Fax (901) 685-2969
Fax(901) 850-5830
Organization SubpartNo
Authorized OfficialRonald O DavisCfo · (901) 683-0055
Enumeration DateNovember 14, 2006
Last NPPES UpdateOctober 20, 2011
✔ NPI 1023180478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1500 W POPLAR AVE, Collierville, TN 38017

Other Identifiers 8

Medicaid3704066TN
Other0106442TN · Bcbs Tn
Other8P003AR · Bcbs Ar
Medicaid132175002AR
Medicaid500557509MO
Medicaid09013755MS
Medicare PINCN1272TN
Medicare PIN3704066TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

West Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

113

Medicare enrollment records show 113 clinicians reassign Medicare billing to West Clinic PC, which bills Medicare for the services they deliver. Of these, 78 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Nurse Practitioner42
Hematology/Oncology19
Diagnostic Radiology14
Radiation Oncology6
Gynecological Oncology5
Medical Oncology5
Pathology4
Surgical Oncology3
13 other specialties15

Nearest to this location (20)

See all 113
Nurse Practitioner
NPI 1740591437
2028 W POPLAR AVE STE 112
Collierville, TN 38017
(901) 866-8372
✔ PECOS✔ Accepts Medicare0.9 mi
Pathology
NPI 1962405746
3495 HACKS CROSS RD
Memphis, TN 38125
(901) 526-7444
✔ PECOS✔ Accepts Medicare4.6 mi
Gastroenterology
NPI 1508868258
8000 WOLF RIVER BLVD SUITE 200
Germantown, TN 38138
(901) 747-3630
✔ PECOS✔ Accepts Medicare6.3 mi
Medical Oncology
NPI 1902420268
7945 WOLF RIVER BLVD
Germantown, TN 38138
(901) 683-0055
✔ PECOS✔ Accepts Medicare6.4 mi
Hospitalist
NPI 1508246497
7945 WOLF RIVER BLVD
Memphis, TN 38138
(901) 683-0055
✔ PECOS6.4 mi
Gynecological Oncology
NPI 1093235715
7945 WOLF RIVER BLVD
Germantown, TN 38138
(901) 683-0055
✔ PECOS✔ Accepts Medicare6.4 mi
Nurse Practitioner
NPI 1720975899
7945 WOLF RIVER BLVD
Germantown, TN 38138
(005) 590-1683
✔ PECOS✔ Accepts Medicare6.4 mi
Hematology/Oncology
NPI 1528066495
7945 WOLF RIVER BOULEVARD
Germantown, TN 38138
(901) 683-0055
✔ PECOS✔ Accepts Medicare6.4 mi
Radiation Oncology
NPI 1285869362
7945 WOLF RIVER BLVD
Germantown, TN 38138
(901) 683-0055
✔ PECOS✔ Accepts Medicare6.4 mi
Obstetrics/Gynecology
NPI 1861615627
7945 WOLF RIVER BLVD
Germantown, TN 38138
(901) 683-0055
✔ PECOS✔ Accepts Medicare6.4 mi
Neuroradiology
NPI 1134474711
7945 WOLF RIVER BLVD
Germantown, TN 38138
(901) 683-0055
✔ PECOS✔ Accepts Medicare6.4 mi
Diagnostic Radiology
NPI 1841229218
7945 WOLF RIVER BLVD
Germantown, TN 38138
(901) 683-0055
✔ PECOS✔ Accepts Medicare6.4 mi
Surgical Oncology
NPI 1588083927
7945 WOLF RIVER BLVD
Memphis, TN 38138
(901) 683-0055
✔ PECOS✔ Accepts Medicare6.4 mi
Plastic and Reconstructive Surgery
NPI 1104072651
7945 WOLF RIVER BLVD
Germantown, TN 38138
(901) 683-0055
✔ PECOS✔ Accepts Medicare6.4 mi
General Surgery
NPI 1841786852
7945 WOLF RIVER BLVD
Germantown, TN 38138
(901) 683-0055
✔ PECOS✔ Accepts Medicare6.4 mi
Otolaryngology
NPI 1700373768
7945 WOLF RIVER BLVD
Germantown, TN 38138
(901) 683-0055
✔ PECOS✔ Accepts Medicare6.4 mi
Pathology
NPI 1518001932
7945 WOLF RIVER BLVD
Germantown, TN 38138
(901) 683-0055
✔ PECOS✔ Accepts Medicare6.4 mi
Interventional Radiology
NPI 1235452723
7945 WOLF RIVER BLVD
Germantown, TN 38138
(901) 683-0055
✔ PECOS✔ Accepts Medicare6.4 mi
Internal Medicine
NPI 1649207242
1068 CRESTHAVEN RD SUITE 250
Memphis, TN 38119
(901) 685-3490
✔ PECOS✔ Accepts Medicare9.8 mi
Dermatology
NPI 1699119719
1068 CRESTHAVEN RD STE 210
Memphis, TN 38119
(901) 866-8805
✔ PECOS✔ Accepts Medicare9.8 mi
See all 113 clinicians

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

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 25D1033994

West Clinic,the · Corinth, MS
Active · expires Oct 5, 2027
CLIA Number25D1033994
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorDr. Lisa Hiatt Todd
Laboratory Phone(901) 683-0055
Laboratory LocationWest Clinic,the2001 State Drive, Corinth, MS 38834
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 44D1023770

West Clinic,the · Brighton, TN
Active · expires Dec 8, 2026
CLIA Number44D1023770
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2024
Certificate Expiration DateDecember 8, 2026
Laboratory DirectorDr. Gary Tian
Laboratory Phone(901) 683-0055
Laboratory LocationWest Clinic,the240 Grandview Dr, Brighton, TN 38011
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 West Clinic PC's NPI number?

The NPI number for West Clinic PC is 1023180478. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is West Clinic PC located?

West Clinic PC is located at 1500 W Poplar Ave Suite 304, Collierville, TN 38017. The listed phone number is (901) 850-1456.

What is West Clinic PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is West Clinic PC enrolled in Medicare?

Yes. West Clinic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 113 clinicians in 21 Medicare specialties reassign their Medicare billing to West Clinic PC. 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. The largest specialties are Nurse Practitioner (42), Hematology/Oncology (19) and Diagnostic Radiology (14). Of these, 78 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does West Clinic PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for West Clinic PC was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.