POPLAR AVENUE CLINIC PLLC
NPI 1124588793
Obstetrics & Gynecology - Gynecologic Oncology in Memphis, TN
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
Specialties & Licenses 13
Other Names 1
Secondary Practice Location 1
Other Identifiers 2
Group Practice 1
Accepted 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)
Poplar Avenue Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Poplar Avenue Clinic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, TNFrequently 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.
Is Poplar Avenue Clinic PLLC enrolled in Medicare?
Yes. Poplar Avenue Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Poplar Avenue Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Poplar Avenue Clinic PLLC, in Cardiovascular Disease (Cardiology), Internal Medicine, Nurse Practitioner and Obstetrics/Gynecology. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 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 4 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.
# Poplar Avenue Clinic Pllc · NPI 1124588793
Gynecologic Oncology organization in Memphis, Tennessee. Organization record, active in the CMS NPPES registry since March 20, 2019.
## Identity
- **NPI:** 1124588793 (Entity type: Organization)
- **Enumerated:** March 20, 2019
- **Primary specialty:** Obstetrics & Gynecology - Gynecologic Oncology · taxonomy 207VX0201X
- **Organization subpart:** No
- **Authorized official:** Huda Alaeddin, OFFICE MANAGER
## Practice location
- **Address:** 6584 POPLAR AVE STE 400, Memphis, TN 38138-3687
- **Phone:** (901) 300-6713 · **Fax:** (901) 552-5891
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (2), Cardiovascular Disease (Cardiology) (1), Internal Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2022
- **Other identifiers:** Medicaid 893541 (TN); Medicaid 6528091 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124588793) · Data from the CMS NPPES public registry.