1. Home
  2. Directory
  3. Tennessee
  4. Memphis
  5. Internal Medicine
  6. NPI Profile

CRESTHAVEN INTERNAL MEDICINE ASSOCIATES
NPI 1164489175
Internal Medicine in Memphis, TN

Active since April 26, 2006CLIA Certified · 2 labs
6799 GREAT OAKS ROAD # 250, CRESTHAVEN INTERNAL MEDICINE, MEMPHIS, TN 38138(901) 821-8300(901) 259-9793 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cresthaven Internal Medicine Associates NPPES

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

CRESTHAVEN INTERNAL MEDICINE ASSOCIATES (NPI 1164489175) is a healthcare organization registered as an internal medicine in Memphis, Tennessee and active in the NPI registry since April 2006. The organization holds 2 active CLIA laboratory certificates and lists Timothy Deaton, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1164489175
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCRESTHAVEN INTERNAL MEDICINE ASSOCIATES
Location Address6799 GREAT OAKS ROAD # 250, CRESTHAVEN INTERNAL MEDICINEMemphis, TN 38138
Mailing AddressPo Box 1000 Dept 558, Cresthaven Internal MedicineMemphis, TN 38148 · (901) 821-8300 · Fax (901) 259-9793
Phone(901) 821-8300
Fax(901) 259-9793
Organization SubpartNo
Authorized OfficialTimothy DeatonPractice Administrator · (901) 821-8300
Enumeration DateApril 26, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164489175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6799 GREAT OAKS ROAD # 250, Memphis, TN 38138
Open in Google Maps ↗

Other Identifiers 1

Other19006TN · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 of Waiver 44D2186186

Cresthaven Internal Medicine · Memphis, TN
Active · expires Jun 14, 2028
CLIA Number44D2186186
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2026
Certificate Expiration DateJune 14, 2028
Laboratory DirectorReuben W. Avila
Laboratory Phone(901) 821-8300
Laboratory LocationCresthaven Internal Medicine6799 Great Oaks Road Suite 105, Memphis, TN 38138
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2139746

Cresthaven Internal Medicine · Memphis, TN
Active · expires Nov 6, 2027
CLIA Number44D2139746
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorDr. Arthur E. Franklin
Laboratory Phone(901) 260-8329
Laboratory LocationCresthaven Internal Medicine6799 Great Oaks Road Ste 250, Memphis, TN 38138
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only 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 Cresthaven Internal Medicine Associates's NPI number?

The NPI number for Cresthaven Internal Medicine Associates is 1164489175. It was assigned to this organization in the NPPES registry on April 26, 2006.

Where is Cresthaven Internal Medicine Associates located?

Cresthaven Internal Medicine Associates is located at 6799 Great Oaks Road # 250 Cresthaven Internal Medicine, Memphis, TN 38138. The listed phone number is (901) 821-8300.

What is Cresthaven Internal Medicine Associates's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Cresthaven Internal Medicine Associates 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.

When was this NPI record last updated?

The NPPES record for Cresthaven Internal Medicine Associates was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.