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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: August 02, 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
Phone(901) 850-1456
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
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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

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.

Other Providers at the Same Location NPPES 20

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

DR. CHRISTOPHER DAUTRIVE DUPERIER MD
Anesthesiology
1500 W POPLAR AVE
COLLIERVILLE, TN 38017
Shelby County (901) 861-9000
REBECCA R MCINTYRE M.D.
Obstetrics & Gynecology (Gynecology)
1500 W POPLAR AVE, SUITE 308
COLLIERVILLE, TN 38017
Shelby County (901) 414-0017
BAPTIST MEMORIAL HOSPITAL
Pharmacy (Community/Retail Pharmacy)
1500 W POPLAR AVE
COLLIERVILLE, TN 38017
Shelby County (901) 861-9000
RICHARD MCGUIRE
Internal Medicine
1500 W POPLAR AVE
COLLIERVILLE, TN 38017
Shelby County (901) 861-9000
DR. STEVEN RANDALL CREASY MD
Emergency Medicine
1500 W POPLAR AVE
COLLIERVILLE, TN 38017
Shelby County (901) 861-9000
MRS. LYNDA PELOT MCALLISTER PT
Physical Therapist
1500 W POPLAR AVE
COLLIERVILLE, TN 38017
Shelby County (901) 861-8926
DR. JOLEE BOSTICK RUTHERFORD MD
Emergency Medicine
1500 W POPLAR AVE
COLLIERVILLE, TN 38017
Shelby County (901) 861-9000
PAIGE RUCKER SEABROOK MD
Internal Medicine
1500 W POPLAR AVE
COLLIERVILLE, TN 38017
Shelby County (901) 861-9000

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.

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 14 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.