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UT LEBONHEUR PEDIATRIC SPECIALISTS, INC.
NPI 1093024101
Pediatrics in Memphis, TN

Active since October 07, 2010CLIA Certified · 2 labs
848 ADAMS AVE., MEMPHIS, TN 38103(901) 287-7337 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2023, Jun 14, 2023, May 2, 2022 and 4 more (7 updates tracked since 2018).

About Ut Lebonheur Pediatric Specialists, Inc. NPPES

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

UT LEBONHEUR PEDIATRIC SPECIALISTS, INC. (NPI 1093024101) is a healthcare organization registered as a pediatrics in Memphis, Tennessee and active in the NPI registry since October 2010. The organization holds 2 active CLIA laboratory certificates, maintains 20 additional practice locations, and lists Nyoka Bowman, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1093024101
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameUT LEBONHEUR PEDIATRIC SPECIALISTS, INC.
Location Address848 ADAMS AVE.Memphis, TN 38103
Mailing Address850 Poplar Ave., Bldg. 2Memphis, TN 38105 · (901) 287-5513
Phone(901) 287-7337
Organization SubpartNo
Authorized OfficialNyoka BowmanSupervisor · (901) 287-5594
Enumeration DateOctober 7, 2010
Last NPPES UpdateJuly 17, 20237 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
✔ NPI 1093024101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X
Also ListedOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistTaxonomy 207WX0110X
Also ListedOtolaryngology · Pediatric OtolaryngologyTaxonomy 207YP0228X
Also ListedPediatrics · Pediatric Allergy/ImmunologyTaxonomy 2080P0201X
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X
Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X
Also ListedPediatrics · Pediatric EndocrinologyTaxonomy 2080P0205X
Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X
Also ListedPediatrics · Pediatric Infectious DiseasesTaxonomy 2080P0208X
Also ListedPediatrics · Pediatric NephrologyTaxonomy 2080P0210X
Also ListedPediatrics · Pediatric PulmonologyTaxonomy 2080P0214X
Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X
848 ADAMS AVE., Memphis, TN 38103
Open in Google Maps ↗

Secondary Practice Locations 20

Location 18001 Centerview ParkwayCordova, TN 38018 · Phone (901) 287-7337
Location 2848 Adams Ave., Ste. L201Memphis, TN 38103 · Phone (901) 287-7337
Location 351 N Dunlap St Ste 400Memphis, TN 38105-4625 · Phone (901) 287-7337
Location 41535 Vann DrJackson, TN 38305 · Phone (731) 984-9944
Location 551 N Dunlap St Ste G10Memphis, TN 38105-4625 · Phone (901) 287-7337
Location 6100 N Humphreys BlvdMemphis, TN 38120-2146 · Phone (901) 287-7337
Location 7942 Commonwealth BlvdTupelo, MS 38804 · Phone (662) 620-0101
Location 8920 Estate DriveMemphis, TN 38119 · Phone (901) 287-7337
Location 9610 Brunson DrTupelo, MS 38804 · Phone (901) 287-7337 · Fax (901) 448-1813
Location 1051 N. Dunlap St., Ste. 350Memphis, TN 38105 · Phone (901) 287-7337
Location 1151 N Dunlap St Ste 100Memphis, TN 38105-4625 · Phone (901) 287-7337
Location 121920 Kirby Parkway, Ste. 100Germantown, TN 38138 · Phone (901) 287-7337
Location 13930 Madison Ave Ste 400Memphis, TN 38103-7400 · Phone (901) 287-7337 · Fax (901) 448-1813
Location 14848 Adams Ave Ste L400Memphis, TN 38103-2816 · Phone (901) 287-7337 · Fax (901) 287-4540
Location 15620 Skyline Dr Fl 3Jackson, TN 38301-3923 · Phone (866) 870-5570 · Fax (731) 541-8187
Location 1651 N. Dunlap St., 2nd FloorMemphis, TN 38105 · Phone (901) 287-7337
Location 174055 N Park LoopMemphis, TN 38152 · Phone (901) 678-2009 · Fax (901) 678-5497
Location 186401 Poplar Ave, Ste. 324Memphis, TN 38119 · Phone (901) 287-7337
Location 19848 Adams Ave., Ste. L400Memphis, TN 38103 · Phone (901) 287-7337
Location 20800 S Church St Ste 104Jonesboro, AR 72401-4154 · Phone (870) 336-1778 · Fax (870) 366-1780

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 Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 44D0862078

Ut Lebonheur Pediatric Specialists Inc · Memphis, TN
Active · expires Aug 31, 2026
CLIA Number44D0862078
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Jason Yaun
Laboratory Phone(901) 287-5547
Laboratory LocationUt Lebonheur Pediatric Specialists Inc51 N Dunlap Street, Memphis, TN 38105
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 25D2037820

Ut Le Bonheur Pediatric Specialists · Tupelo, MS
Active · expires Mar 6, 2028
CLIA Number25D2037820
Laboratory TypePhysician Office
Certificate Effective DateMarch 7, 2026
Certificate Expiration DateMarch 6, 2028
Laboratory DirectorRobin L. Jack
Laboratory Phone(662) 620-0101
Laboratory LocationUt Le Bonheur Pediatric Specialists942 Commonwealth Blvd, Tupelo, MS 38804
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 8

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

NAMRATA SAMIR SHAH M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
848 ADAMS AVE., STE. L400
MEMPHIS, TN 38103
Shelby County (901) 287-7337
DR. BASANAGOUD MUDIGOUDAR M.D.
Psychiatry & Neurology (Epilepsy)
848 ADAMS AVE., STE.L400
MEMPHIS, TN 38103
Shelby County (901) 287-7337
ROBIN LYNNE JACK MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
848 ADAMS AVE., STE. L400
MEMPHIS, TN 38103
Shelby County (901) 287-7337
CATHERINE MEGHAN STEADMAN-HAIRSTON NP
Nurse Practitioner (Pediatrics, Critical Care)
848 ADAMS AVE.
MEMPHIS, TN 38103
Shelby County (901) 287-7337
HALEY MIRANDA FREEMAN
Nurse Practitioner (Pediatrics)
848 ADAMS AVE., STE. L400
MEMPHIS, TN 38103
Shelby County (901) 287-7337
MRS. BRIANNA MEGAN DALE NP
Nurse Practitioner (Pediatrics)
848 ADAMS AVE., STE. L400
MEMPHIS, TN 38103
Shelby County (901) 287-7337
UNIVERSITY OF TENNESSEE
Dentist (Orthodontics and Dentofacial Orthopedics)
848 ADAMS AVE., SUITE 101
MEMPHIS, TN 38103
Shelby County (901) 448-5437
JESSICA AREAN PLIEGO PHD
Clinical Neuropsychologist
848 ADAMS AVE., STE. L400
MEMPHIS, TN 38103
Shelby County (901) 287-7337

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 Ut Lebonheur Pediatric Specialists, Inc.'s NPI number?

The NPI number for Ut Lebonheur Pediatric Specialists, Inc. is 1093024101. It was assigned to this organization in the NPPES registry on October 7, 2010.

Where is Ut Lebonheur Pediatric Specialists, Inc. located?

Ut Lebonheur Pediatric Specialists, Inc. is located at 848 Adams Ave., Memphis, TN 38103. The listed phone number is (901) 287-7337.

What is Ut Lebonheur Pediatric Specialists, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Ut Lebonheur Pediatric Specialists, Inc. 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.

What insurance does Ut Lebonheur Pediatric Specialists, Inc. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter of Alabama and 6 other insurers list Ut Lebonheur Pediatric Specialists, Inc. 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 Ut Lebonheur Pediatric Specialists, Inc. was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.