MEMPHIS CARDIOVASCULAR CENTER
NPI 1063873909
Internal Medicine - Cardiovascular Disease in Memphis, TN

Active since March 18, 2016CLIA 44D2283379 · Waiver
6799 GREAT OAKS RD, SUITE 100, MEMPHIS, TN 38138(901) 751-0405(901) 751-9694 Get Directions Write a Review

NPPES record last updated: March 18, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Memphis Cardiovascular Center NPPES

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

MEMPHIS CARDIOVASCULAR CENTER (NPI 1063873909) is a healthcare organization registered as a cardiovascular disease in Memphis, Tennessee and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Sara Elizabeth Wiles, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1063873909
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameMEMPHIS CARDIOVASCULAR CENTER
Location Address6799 GREAT OAKS RD, SUITE 100Memphis, TN 38138-2588
Mailing Address6799 Great Oaks Rd, Suite 100Memphis, TN 38138-2588 · (901) 751-0405 · Fax (901) 751-9694
Fax(901) 751-9694
Organization SubpartNo
Authorized OfficialSara Elizabeth WilesNurse Practitioner · (901) 751-0405
Enumeration DateMarch 18, 2016
NPI 1063873909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

6799 GREAT OAKS RD, Memphis, TN 38138

Group Practice 1

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 44D2283379

Memphis Cardiovascular Center · Memphis, TN
Active · expires Jun 6, 2027
CLIA Number44D2283379
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorDr. Mohamed B. Shala
Laboratory Phone(901) 751-0405
Laboratory LocationMemphis Cardiovascular Center6799 Great Oaks Rd Ste 100, Memphis, TN 38138
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

Internal Medicine
6799 GREAT OAKS RD, SUITE 250
MEMPHIS, TN 38138
Physician Assistant
6799 GREAT OAKS RD, 100
MEMPHIS, TN 38138
Nurse Practitioner
6799 GREAT OAKS RD, 250
MEMPHIS, TN 38138
Internal Medicine
6799 GREAT OAKS RD, SUITE 250
MEMPHIS, TN 38138
Internal Medicine
6799 GREAT OAKS RD, SUITE 250
MEMPHIS, TN 38138
Internal Medicine (Cardiovascular Disease)
6799 GREAT OAKS RD, SUITE 100
MEMPHIS, TN 38138
Internal Medicine
6799 GREAT OAKS RD
MEMPHIS, TN 38138
Dentist
6799 GREAT OAKS RD, SUITE 201
MEMPHIS, TN 38138

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 Memphis Cardiovascular Center's NPI number?

The NPI number for Memphis Cardiovascular Center is 1063873909. It was assigned to this organization in the NPPES registry on March 18, 2016.

Where is Memphis Cardiovascular Center located?

Memphis Cardiovascular Center is located at 6799 Great Oaks Rd Suite 100, Memphis, TN 38138. The listed phone number is (901) 751-0405.

What is Memphis Cardiovascular Center's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Memphis Cardiovascular Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2283379) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Memphis Cardiovascular Center was last updated on March 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.