1. Home
  2. Directory
  3. Tennessee
  4. Memphis
  5. Clinical Nurse Specialist
  6. NPI Profile

ICP TENNESSEE ACO BILLING LLC
NPI 1174107338
Clinical Nurse Specialist in Memphis, TN

Active since May 12, 2021
5100 POPLAR AVE STE 2700, MEMPHIS, TN 38137(855) 498-6767(479) 968-1673 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Icp Tennessee Aco Billing Llc NPPES

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

ICP TENNESSEE ACO BILLING LLC (NPI 1174107338) is a healthcare organization registered as a clinical nurse specialist in Memphis, Tennessee and active in the NPI registry since May 2021. The organization lists Rodney Thomason, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1174107338
Entity TypeOrganization
Primary Taxonomy364S00000X
Legal Business NameICP TENNESSEE ACO BILLING LLC
Location Address5100 POPLAR AVE STE 2700Memphis, TN 38137-2700
Mailing AddressPo Box 9178Russellville, AR 72811-9178 · (855) 498-6767 · Fax (479) 968-1673
Phone(855) 498-6767
Fax(479) 968-1673
Organization SubpartNo
Authorized OfficialRodney ThomasonAuthorized Official · (501) 406-6180
Enumeration DateMay 12, 2021
NPPES CertifiedMay 12, 2021
✔ NPI 1174107338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
5100 POPLAR AVE STE 2700, Memphis, TN 38137
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 5

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

MATRIX MEDICAL NETWORK OF TENNESSEE, PC
Nurse Practitioner
5100 POPLAR AVE STE 2700
MEMPHIS, TN 38137
Shelby County (480) 862-1677
MOLLY LEDBETTER FNP
Nurse Practitioner (Family)
5100 POPLAR AVE STE 2700
MEMPHIS, TN 38137
Shelby County (901) 201-4680
SMILE TENNESSEE P.C.
Dentist
5100 POPLAR AVE STE 2700
MEMPHIS, TN 38137
Shelby County (888) 833-8441
HEATHER ELAINE HICKS MSN, APRN, FNP-C
Nurse Practitioner (Family)
5100 POPLAR AVE STE 2700
MEMPHIS, TN 38137
Shelby County (901) 201-4680
AT YOUR BEST INC
In Home Supportive Care
5100 POPLAR AVE STE 2700
MEMPHIS, TN 38137
Shelby County (013) 523-3779

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 Icp Tennessee Aco Billing LLC's NPI number?

The NPI number for Icp Tennessee Aco Billing LLC is 1174107338. It was assigned to this organization in the NPPES registry on May 12, 2021.

Where is Icp Tennessee Aco Billing LLC located?

Icp Tennessee Aco Billing LLC is located at 5100 Poplar Ave Ste 2700, Memphis, TN 38137. The listed phone number is (855) 498-6767.

What is Icp Tennessee Aco Billing LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

When was this NPI record last updated?

The NPPES record for Icp Tennessee Aco Billing LLC was last updated on May 12, 2021. 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.