COLLIERVILLE MEDICAL ASSOC INC
NPI 1063608271
Clinic/Center - Primary Care in Collierville, TN

Q: What is Collierville Medical Assoc Inc's NPI number?

The NPI number for Collierville Medical Assoc Inc is 1063608271. It was assigned to this organization in the NPPES registry on September 20, 2007.

Q: What is Collierville Medical Assoc Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since September 20, 2007

151 N MAIN ST, COLLIERVILLE, TN 38017(901) 853-4747(901) 853-6716 Get Directions Write a Review

NPPES record last updated: September 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Collierville Medical Assoc Inc NPPES

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

COLLIERVILLE MEDICAL ASSOC INC (NPI 1063608271) is a healthcare organization registered as a primary care in Collierville, Tennessee and active in the NPI registry since September 2007. The organization lists Robert Cheatham Ballard, President, as its authorized official.

NPPES Registry Identity

NPI1063608271

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameCOLLIERVILLE MEDICAL ASSOC INC

Location Address151 N MAIN STCollierville, TN 38017-2670

Mailing Address151 N Main StCollierville, TN 38017-2670 · (901) 853-4747 · Fax (901) 853-6716

Phone(901) 853-4747

Fax(901) 853-6716

Organization SubpartNo

Authorized OfficialRobert Cheatham BallardPresident · (901) 853-4747

Enumeration DateSeptember 20, 2007

✔ NPI 1063608271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in TN · 007768

151 N MAIN ST, Collierville, TN 38017

Open in Google Maps ↗

Other Identifiers 2

Medicare UPINB03724TN

Medicare PIN3373912TN

Other Providers at the Same Location NPPES 2

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

DR. ROBERT CHEATHAM BALLARD M.D.

Family Medicine

151 N MAIN ST
COLLIERVILLE, TN 38017

Shelby County (901) 853-4747

TENNESSEE DENTAL PROFESSIONALS, PC

Dentist (General Practice)

151 N MAIN ST
COLLIERVILLE, TN 38017

Shelby County (901) 881-8725

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 Collierville Medical Assoc Inc's NPI number?

The NPI number for Collierville Medical Assoc Inc is 1063608271. It was assigned to this organization in the NPPES registry on September 20, 2007.

Where is Collierville Medical Assoc Inc located?

Collierville Medical Assoc Inc is located at 151 N Main St, Collierville, TN 38017. The listed phone number is (901) 853-4747.

What is Collierville Medical Assoc Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Collierville Medical Assoc Inc was last updated on September 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.