LARAYA FAMILY MEDICINE - MEDICINA FAMILAR LLC
NPI 1164102133
Family Medicine in Bartlett, TN

Active since July 24, 2023CLIA 44D2291950 · Microscopy
6570 STAGE RD STE 100, BARTLETT, TN 38134(901) 949-2316 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 8, 2023, Aug 24, 2023, Jul 24, 2023 (3 updates tracked since 2023).

About Laraya Family Medicine - Medicina Familar Llc NPPES

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

LARAYA FAMILY MEDICINE - MEDICINA FAMILAR LLC (NPI 1164102133) is a healthcare organization registered as a family medicine in Bartlett, Tennessee and active in the NPI registry since July 2023. The organization holds a CLIA Microscopy certificate valid through October 17, 2027 and lists Jose Aria Gharavi Laraya, Owner, as its authorized official.

NPPES Registry Identity

NPI1164102133
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLARAYA FAMILY MEDICINE - MEDICINA FAMILAR LLC
Location Address6570 STAGE RD STE 100Bartlett, TN 38134-2839
Mailing AddressPo Box 931263Atlanta, GA 31193-1263 · (901) 949-2316
Organization SubpartNo
Authorized OfficialJose Aria Gharavi LarayaOwner · (901) 949-2316
Enumeration DateJuly 24, 2023
Last NPPES UpdateSeptember 8, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
✔ NPI 1164102133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
6570 STAGE RD STE 100, Bartlett, TN 38134

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laraya Family Medicine - Medicina Familar Llc 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 Laraya Family Medicine - Medicina Familar LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1639120868
6570 STAGE RD STE 100
Bartlett, TN 38134
(901) 949-2316
✔ 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.

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) 44D2291950

Laraya Family Medicine Medicina Familiar, LLC · Bartlett, TN
Active · expires Oct 17, 2027
CLIA Number44D2291950
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorJose Laraya
Laboratory Phone(901) 557-9577
Laboratory LocationLaraya Family Medicine Medicina Familiar, LLC6570 Stage Road, Suite 100, Bartlett, TN 38134
CLIA data matches this NPI record on: Address
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.

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 Laraya Family Medicine - Medicina Familar LLC's NPI number?

The NPI number for Laraya Family Medicine - Medicina Familar LLC is 1164102133. It was assigned to this organization in the NPPES registry on July 24, 2023.

Where is Laraya Family Medicine - Medicina Familar LLC located?

Laraya Family Medicine - Medicina Familar LLC is located at 6570 Stage Rd Ste 100, Bartlett, TN 38134. The listed phone number is (901) 949-2316.

What is Laraya Family Medicine - Medicina Familar LLC's specialty?

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

Is Laraya Family Medicine - Medicina Familar LLC enrolled in Medicare?

Yes. Laraya Family Medicine - Medicina Familar LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Laraya Family Medicine - Medicina Familar LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Laraya Family Medicine - Medicina Familar LLC. 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.

Does Laraya Family Medicine - Medicina Familar LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D2291950) is associated with this NPI, valid through October 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Laraya Family Medicine - Medicina Familar LLC was last updated on September 8, 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.