POPLAR AVENUE CLINIC PLLC
NPI 1124588793
Obstetrics & Gynecology - Gynecologic Oncology in Memphis, TN

Q: What is Poplar Avenue Clinic PLLC's NPI number?

The NPI number for Poplar Avenue Clinic PLLC is 1124588793. It was assigned to this organization in the NPPES registry on March 20, 2019.

Q: What is Poplar Avenue Clinic PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Active since March 20, 2019CLIA 44D2166617 · Microscopy

6584 POPLAR AVE STE 400, MEMPHIS, TN 38138(901) 300-6713(901) 552-5891 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2022, Apr 29, 2019, Mar 20, 2019 (3 updates tracked since 2019).

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About Poplar Avenue Clinic Pllc NPPES

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

POPLAR AVENUE CLINIC PLLC (NPI 1124588793) is a healthcare organization registered as a gynecologic oncology in Memphis, Tennessee and active in the NPI registry since March 2019. The organization holds a CLIA Microscopy certificate valid through May 20, 2027, maintains a secondary practice location in Memphis, and lists Huda Alaeddin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1124588793

Entity TypeOrganization

Primary Taxonomy207VX0201X

Legal Business NamePOPLAR AVENUE CLINIC PLLC

Location Address6584 POPLAR AVE STE 400Memphis, TN 38138-3687

Mailing AddressPo Box 172344Memphis, TN 38187-2344 · (901) 870-8840 · Fax (901) 552-5891

Phone(901) 300-6713

Fax(901) 552-5891

Organization SubpartNo

Authorized OfficialHuda AlaeddinOffice Manager · (901) 870-8840

Enumeration DateMarch 20, 2019

Last NPPES UpdateSeptember 6, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2022

✔ NPI 1124588793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207VX0201X

Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X

Also ListedClinic/Center · Family Planning, Non-SurgicalTaxonomy 261QF0050X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X

Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X

6584 POPLAR AVE STE 400, Memphis, TN 38138

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Other Names 1

Doing Business AsPoplar Avenue Clinic Pllc

Secondary Practice Location 1

Location 11726 Poplar AveMemphis, TN 38104-6426 · Phone (901) 300-6713 · Fax (901) 881-0337

Other Identifiers 2

Medicaid893541TN

Medicaid6528091MS

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

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) 44D2166617

Poplar Ave Clinic PLLC · Memphis, TN

Active · expires May 20, 2027

CLIA Number44D2166617

Laboratory TypePhysician Office

Certificate Effective DateMay 21, 2025

Certificate Expiration DateMay 20, 2027

Laboratory DirectorHuda Alaeddin

Laboratory Phone(901) 300-6713

Laboratory LocationPoplar Ave Clinic PLLC6584 Poplar Ave, Suite 400, Memphis, TN 38138

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 2

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

WEEKS CANCER CENTER PLLC

Internal Medicine (Hematology & Oncology)

6584 POPLAR AVE STE 400
MEMPHIS, TN 38138

Shelby County (901) 300-6713

KENDALL SACHARCZYK WHNP-BC

Nurse Practitioner (Women's Health)

6584 POPLAR AVE STE 400
GERMANTOWN, TN 38138

Shelby County (901) 300-6713

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 Poplar Avenue Clinic PLLC's NPI number?

The NPI number for Poplar Avenue Clinic PLLC is 1124588793. It was assigned to this organization in the NPPES registry on March 20, 2019.

Where is Poplar Avenue Clinic PLLC located?

Poplar Avenue Clinic PLLC is located at 6584 Poplar Ave Ste 400, Memphis, TN 38138. The listed phone number is (901) 300-6713.

What is Poplar Avenue Clinic PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Does Poplar Avenue Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D2166617) is associated with this NPI, valid through May 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Poplar Avenue Clinic PLLC 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 3 other insurers list Poplar Avenue Clinic PLLC 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 Poplar Avenue Clinic PLLC was last updated on September 6, 2022. 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.