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DARSALUD COMMUNITY CENTER INC
NPI 1174184709
General Practice in Memphis, TN

Active since June 25, 2019CLIA Certified · 3 labs
6063 MOUNT MORIAH ROAD EXT STE 4, MEMPHIS, TN 38115(901) 531-8800(901) 531-8801 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 21, 2026, Jun 12, 2024, Apr 6, 2020 (3 updates tracked since 2020).

About Darsalud Community Center Inc NPPES

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

DARSALUD COMMUNITY CENTER INC (NPI 1174184709), doing business as Lifedoc Health, is a healthcare organization registered as a general practice in Memphis, Tennessee and active in the NPI registry since June 2019. The organization holds 3 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Andrea Fuller, Billing And Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1174184709
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDARSALUD COMMUNITY CENTER INC
Location Address6063 MOUNT MORIAH ROAD EXT STE 4Memphis, TN 38115-2665
Mailing Address6625 Lenox Park Dr Ste 202Memphis, TN 38115-8200 · (901) 922-5951 · Fax (901) 922-5952
Phone(901) 531-8800
Fax(901) 531-8801
Organization SubpartNo
Authorized OfficialAndrea FullerBilling And Credentialing Manager · (901) 922-5951
Enumeration DateJune 25, 2019
Last NPPES UpdateApril 21, 20263 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1174184709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
6063 MOUNT MORIAH ROAD EXT STE 4, Memphis, TN 38115
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Other Names 1

Doing Business AsLifedoc Health

Secondary Practice Locations 3

Location 11212 Vollintine Ave Ste 101Memphis, TN 38107-2826 · Phone (901) 683-0024 · Fax (901) 683-0086
Location 26625 Lenox Park Dr Ste 101Memphis, TN 38115-4397 · Phone (901) 683-0024 · Fax (901) 683-0086
Location 32922 Covington PikeMemphis, TN 38128-6007 · Phone (901) 683-0024

Other Identifiers 1

MedicaidQ051384TN

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 Health, Ambetter of Alabama and more.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)

Darsalud Community Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Darsalud Community Center Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nurse Practitioner10
Pediatric Medicine2
Cardiovascular Disease (Cardiology)1
Family Practice1
Internal Medicine1
Optometry1

Clinicians, nearest first (16)

Lydia Franklin, PMHNP-BC,FNP
Nurse Practitioner
NPI 1083673792
6063 MOUNT MORIAH ROAD EXT STE 4
Memphis, TN 38115
(901) 531-8800
✔ PECOS✔ Accepts MedicareSame address
Amanda Hannah, NURSE PRACTITIONER
Nurse Practitioner
NPI 1649890088
6063 MOUNT MORIAH ROAD EXT STE 4
Memphis, TN 38115
(901) 683-0024
✔ PECOSSame address
Kelly Hoy, OD
Optometry
NPI 1437177318
6625 LENOX PARK DR STE 101
Memphis, TN 38115
(901) 683-0024
✔ PECOS✔ Accepts Medicare1.3 mi
Lefonda Hill, APN, FNP-BC
Nurse Practitioner
NPI 1285059733
6625 LENOX PARK DR STE 101
Memphis, TN 38115
(901) 683-0024
✔ PECOS✔ Accepts Medicare1.3 mi
Jennifer Mink, M.D.
Pediatric Medicine
NPI 1598759359
6625 LENOX PARK DR STE 101
Memphis, TN 38115
(901) 683-0024
✔ PECOS1.3 mi
Claudia Neira, FNP
Nurse Practitioner
NPI 1598866568
6625 LENOX PARK DR STE 101
Memphis, TN 38115
(901) 683-0024
✔ PECOS✔ Accepts Medicare1.3 mi
Pedro Velasquez, MD
Internal Medicine
NPI 1003874801
6625 LENOX PARK DR STE 101
Memphis, TN 38115
(901) 683-0024
✔ PECOS✔ Accepts Medicare1.3 mi
Kelsey James, DNP
Nurse Practitioner
NPI 1154992956
1920 KIRBY PKWY STE 202
Germantown, TN 38138
(901) 751-9997
✔ PECOS✔ Accepts Medicare2.2 mi
Andrew Ragin, DNP, AGACNP-BC
Nurse Practitioner
NPI 1477199354
6019 WALNUT GROVE RD
Memphis, TN 38120
(901) 226-2800
✔ PECOS✔ Accepts Medicare4.1 mi
Aftab Shaikh, M.D.
Cardiovascular Disease (Cardiology)
NPI 1528018868
2810 KEASLER CIR E
Memphis, TN 38139
(901) 871-1672
✔ PECOS✔ Accepts Medicare6.8 mi
Angie Childers, MD
Family Practice
NPI 1750391116
2569 DOUGLASS AVE
Memphis, TN 38114
(901) 271-6200
✔ PECOS7.0 mi
Sentorita Williams
Nurse Practitioner
NPI 1295117091
910 MADISON AVE FL 9
Memphis, TN 38103
(901) 448-5630
✔ PECOS✔ Accepts Medicare11 mi
Rebecca Goedecke, CPNP
Nurse Practitioner
NPI 1275884645
51 N DUNLAP ST G145
Memphis, TN 38105
(901) 287-5928
✔ PECOS11 mi
Tavares Williams, M.D.
Pediatric Medicine
NPI 1669629531
205 HOSPITAL DR SUITE A
Mc Kenzie, TN 38201
(731) 352-7907
✔ PECOS107 mi
Emily Jennewine, DNP, CPNP-PC
Nurse Practitioner
NPI 1356810246
1814 FOUNTAIN VIEW DR
Houston, TX 77057
(346) 867-1932
✔ PECOS492 mi
Stephanie Williams, FNP-C
Nurse Practitioner
NPI 1700444056
195 PAGE MILL RD STE 103
Palo Alto, CA 94306
(888) 731-8994
✔ PECOS✔ Accepts Medicare1,801 mi

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 3

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 44D2255755

Darsalud Community Center Inc · Memphis, TN
Active · expires Mar 16, 2028
CLIA Number44D2255755
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorPedro A. Velasquez
Laboratory Phone(901) 683-0024
Laboratory LocationDarsalud Community Center Inc2922 Covington Pike, Memphis, TN 38128
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2283082

Darsalud Community Center Inc · Memphis, TN
Active · expires May 31, 2027
CLIA Number44D2283082
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorDr. Pedro A. Velasquez
Laboratory Phone(901) 683-0024
Laboratory LocationDarsalud Community Center Inc6625 Lenox Park Drive Suite 202, Memphis, TN 38115
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D1103773

Darsalud Community Center Inc · Memphis, TN
Active · expires Aug 17, 2027
CLIA Number44D1103773
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorPedro A. Velasquez
Laboratory Phone(901) 922-5951
Laboratory LocationDarsalud Community Center Inc6063 Mt Moriah Extended, Suite 4, Memphis, TN 38115
CLIA data matches this NPI record on: Name Phone
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 Darsalud Community Center Inc's NPI number?

The NPI number for Darsalud Community Center Inc is 1174184709. It was assigned to this organization in the NPPES registry on June 25, 2019. The provider is doing business as Lifedoc Health.

Where is Darsalud Community Center Inc located?

Darsalud Community Center Inc is located at 6063 Mount Moriah Road Ext Ste 4, Memphis, TN 38115. The listed phone number is (901) 531-8800.

What is Darsalud Community Center Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Darsalud Community Center Inc enrolled in Medicare?

Yes. Darsalud Community Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Darsalud Community Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 6 Medicare specialties reassign their Medicare billing to Darsalud Community Center Inc. 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. The largest specialties are Nurse Practitioner (10), Pediatric Medicine (2) and Cardiovascular Disease (Cardiology) (1). Of these, 2 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Darsalud Community Center Inc hold CLIA laboratory certificates?

Yes. 3 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.

What insurance does Darsalud Community Center Inc 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 Darsalud Community Center Inc 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 Darsalud Community Center Inc was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.