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PRIMARY CARE GROUP LLC
NPI 1093016651
Family Medicine in Memphis, TN

Active since November 12, 2010CLIA Certified · 15 labs
1211 UNION AVE STE 200, MEMPHIS, TN 38104(901) 525-0278 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2025, Jun 6, 2024 (2 updates tracked since 2024).

About Primary Care Group Llc NPPES

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

PRIMARY CARE GROUP LLC (NPI 1093016651) is a healthcare organization registered as a family medicine in Memphis, Tennessee and active in the NPI registry since November 2010. The organization holds 15 active CLIA laboratory certificates and lists Tabatha Perry, Manager, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1093016651
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIMARY CARE GROUP LLC
Location Address1211 UNION AVE STE 200Memphis, TN 38104-6654
Mailing Address1211 Union Ave Ste 700Memphis, TN 38104-6600 · (901) 478-0954 · Fax (901) 937-6696
Phone(901) 525-0278
Organization SubpartNo
Authorized OfficialTabatha PerryManager, Provider Enrollment · (901) 478-0954
Enumeration DateNovember 12, 2010
Last NPPES UpdateSeptember 22, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2025
✔ NPI 1093016651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1211 UNION AVE STE 200, Memphis, TN 38104
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Other Identifiers 4

OtherDR2914TN · Railroad Medicare
OtherDS1812MS · Railroad Medicare
Other4290151TN · Bcbs Tn
Medicaid1522556TN

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

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA 16

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 Compliance 44D0315206

Primary Care Group, LLC · Memphis, TN
Active · expires Nov 7, 2027
CLIA Number44D0315206
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorDr. Arvind Ankireddypalli
Laboratory Phone(901) 525-0278
Laboratory LocationPrimary Care Group, LLC1211 Union Ave Suite 200, Memphis, TN 38104
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 44D0703822

Primary Care Group, LLC · Memphis, TN
Active · expires May 27, 2028
CLIA Number44D0703822
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorDr. Stephanie Connelly
Laboratory Phone(901) 721-1200
Laboratory LocationPrimary Care Group, LLC1533 Union Ave, Memphis, TN 38104
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D0703254

Primary Care Group LLC · Memphis, TN
Active · expires May 17, 2028
CLIA Number44D0703254
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2026
Certificate Expiration DateMay 17, 2028
Laboratory DirectorDr. Lamar Bailey
Laboratory Phone(901) 685-0152
Laboratory LocationPrimary Care Group LLC5182 Sanderlin Ave Suite 3, Memphis, TN 38117
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2338328

Primary Care Group, LLC · Memphis, TN
Active · expires Feb 8, 2028
CLIA Number44D2338328
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorShirin Mazumder
Laboratory Phone(901) 516-8714
Laboratory LocationPrimary Care Group, LLC1325 East Moreland Ave, Suite 360, Memphis, TN 38104
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D1020002

Primary Care Group LLC · Memphis, TN
Active · expires Dec 8, 2027
CLIA Number44D1020002
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2025
Certificate Expiration DateDecember 8, 2027
Laboratory DirectorBridget Brady
Laboratory Phone(901) 367-9001
Laboratory LocationPrimary Care Group LLC3725 Champion Hills Drive Suite 2400, Memphis, TN 38125
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2055310

Primary Care Group, LLC · Memphis, TN
Active · expires Mar 7, 2027
CLIA Number44D2055310
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorDr. Charles E. Brown
Laboratory Phone(901) 614-3116
Laboratory LocationPrimary Care Group, LLC1251 Wesley Drive Suite 151, Memphis, TN 38116
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

STEPHANIE MAYS
Nurse Practitioner (Psychiatric/Mental Health)
1211 UNION AVE STE 200
MEMPHIS, TN 38104
Shelby County (901) 525-0278
SEUNGHYUN KIM M.D.
Internal Medicine (Rheumatology)
1211 UNION AVE STE 200
MEMPHIS, TN 38104
Shelby County (901) 525-0278
KATHLEEN P NASH NP
Nurse Practitioner
1211 UNION AVE STE 200
MEMPHIS, TN 38104
Shelby County (901) 259-5340
SEMMES-MURPHEY CLINIC PC
Durable Medical Equipment & Medical Supplies
1211 UNION AVE STE 200
MEMPHIS, TN 38104
Shelby County (901) 259-5340
STEFFI THOMAS D.O
Internal Medicine (Rheumatology)
1211 UNION AVE STE 200
MEMPHIS, TN 38104
Shelby County (901) 525-0278

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 Primary Care Group LLC's NPI number?

The NPI number for Primary Care Group LLC is 1093016651. It was assigned to this organization in the NPPES registry on November 12, 2010.

Where is Primary Care Group LLC located?

Primary Care Group LLC is located at 1211 Union Ave Ste 200, Memphis, TN 38104. The listed phone number is (901) 525-0278.

What is Primary Care Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Primary Care Group LLC hold CLIA laboratory certificates?

Yes. 15 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.

What insurance does Primary Care Group LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Primary Care Group LLC 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 Primary Care Group LLC was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.