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UT MEDICAL GROUP, INC.
NPI 1174302210
Eyewear Supplier in Memphis, TN

Active since September 27, 2023CLIA 44D0314806 · Microscopy
1068 CRESTHAVEN RD STE 400, MEMPHIS, TN 38119(901) 448-6650 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ut Medical Group, Inc. NPPES

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

UT MEDICAL GROUP, INC. (NPI 1174302210) is a healthcare organization registered as an eyewear supplier in Memphis, Tennessee and active in the NPI registry since September 2023. The organization holds a CLIA Microscopy certificate valid through February 6, 2027, maintains a secondary practice location in Memphis, and lists Courtney Knop Love, Vp Of Organizational Effectivenes, as its authorized official.

NPPES Registry Identity

NPI1174302210
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameUT MEDICAL GROUP, INC.
Location Address1068 CRESTHAVEN RD STE 400Memphis, TN 38119-0845
Mailing Address1068 Cresthaven Rd Ste 300Memphis, TN 38119-0809 · (901) 448-6650
Phone(901) 448-6650
Organization SubpartNo
Authorized OfficialCourtney Knop LoveVp Of Organizational Effectivenes · (901) 866-8105
Enumeration DateSeptember 27, 2023
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1174302210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
1068 CRESTHAVEN RD STE 400, Memphis, TN 38119
Open in Google Maps ↗

Secondary Practice Location 1

Location 1930 Madison Ave Ste 200Memphis, TN 38103-3452 · Phone (901) 448-6650

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

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) 44D0314806

Ut Medical Group Inc · Memphis, TN
Active · expires Feb 6, 2027
CLIA Number44D0314806
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorDr. Anna Chollet
Laboratory Phone(901) 866-8812
Laboratory LocationUt Medical Group Inc1301 Primacy Parkway, Memphis, TN 38119
CLIA data matches this NPI record on: Name
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.

Other Providers at the Same Location NPPES 4

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

DR. BRIAN T FOWLER M.D.
Ophthalmology
1068 CRESTHAVEN RD STE 400
MEMPHIS, TN 38119
Shelby County (901) 448-6650
DR. MAJA MAGAZIN DO
Ophthalmology
1068 CRESTHAVEN RD STE 400
MEMPHIS, TN 38119
Shelby County (901) 448-6650
DR. BRIAN MONTGOMERY JERKINS MD
Ophthalmology
1068 CRESTHAVEN RD STE 400
MEMPHIS, TN 38119
Shelby County (901) 448-6650
FABLIHA ANBAR MUKIT MD
Ophthalmology
1068 CRESTHAVEN RD STE 400
MEMPHIS, TN 38119
Shelby County (901) 448-6650

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 Ut Medical Group, Inc.'s NPI number?

The NPI number for Ut Medical Group, Inc. is 1174302210. It was assigned to this organization in the NPPES registry on September 27, 2023.

Where is Ut Medical Group, Inc. located?

Ut Medical Group, Inc. is located at 1068 Cresthaven Rd Ste 400, Memphis, TN 38119. The listed phone number is (901) 448-6650.

What is Ut Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Does Ut Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D0314806) is associated with this NPI, valid through February 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ut Medical Group, Inc. accept?

Health plans from BlueCross BlueShield of Tennessee list Ut Medical Group, 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 Ut Medical Group, Inc. was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.