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PRIME MEDICAL GROUP, PC
NPI 1073624144
Internal Medicine in Memphis, TN

Active since August 31, 2006
6005 PARK AVE, SUITE 433B, MEMPHIS, TN 38119(901) 255-1140 Get Directions Write a Review

NPPES record last updated: May 2, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Prime Medical Group, Pc NPPES

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

PRIME MEDICAL GROUP, PC (NPI 1073624144) is a healthcare organization registered as an internal medicine in Memphis, Tennessee and active in the NPI registry since August 2006. The organization lists Taslim A Khattak, President, as its authorized official.

NPPES Registry Identity

NPI1073624144
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIME MEDICAL GROUP, PC
Location Address6005 PARK AVE, SUITE 433BMemphis, TN 38119-5202
Mailing Address6005 Park Ave Ste 433bMemphis, TN 38119-5211 · (901) 255-1140 · Fax (901) 255-1143
Phone(901) 255-1140
Organization SubpartNo
Authorized OfficialTaslim A KhattakPresident · (901) 255-1140
Enumeration DateAugust 31, 2006
Last NPPES UpdateMay 2, 2019
✔ NPI 1073624144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6005 PARK AVE, Memphis, TN 38119
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Other Identifiers 2

Medicaid3724095TN
Medicaid09016225MS

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prime Medical Group, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Prime Medical Group, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Taslim Khattak, M.D.
Internal Medicine
NPI 1679540298
6005 PARK AVE STE 433B
Memphis, TN 38119
(901) 255-1140
✔ PECOS✔ Accepts MedicareSame address

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

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 Prime Medical Group, PC's NPI number?

The NPI number for Prime Medical Group, PC is 1073624144. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Prime Medical Group, PC located?

Prime Medical Group, PC is located at 6005 Park Ave Suite 433B, Memphis, TN 38119. The listed phone number is (901) 255-1140.

What is Prime Medical Group, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Prime Medical Group, PC enrolled in Medicare?

Yes. Prime Medical Group, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prime Medical Group, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Prime Medical Group, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Prime Medical Group, PC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Prime Medical Group, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prime Medical Group, PC was last updated on May 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.