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SPECIALTY PHYSICIAN GROUP LLC
NPI 1174842181
Internal Medicine - Cardiovascular Disease in Germantown, TN

Active since June 01, 2010CLIA Certified · 3 labs
7460 WOLF RIVER BLVD, GERMANTOWN, TN 38138(901) 763-0200(901) 761-4002 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 5, 2025, Jun 6, 2024, Aug 29, 2023 (3 updates tracked since 2023).

About Specialty Physician Group Llc NPPES

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

SPECIALTY PHYSICIAN GROUP LLC (NPI 1174842181) is a healthcare organization registered as a cardiovascular disease in Germantown, Tennessee and active in the NPI registry since June 2010. The organization holds 3 active CLIA laboratory certificates and lists Tabatha Perry, Manager, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1174842181
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSPECIALTY PHYSICIAN GROUP LLC
Location Address7460 WOLF RIVER BLVDGermantown, TN 38138-1760
Mailing Address1211 Union Ave Ste 700Memphis, TN 38104-6600 · (901) 478-0954 · Fax (901) 937-6696
Phone(901) 763-0200
Fax(901) 761-4002
Organization SubpartNo
Authorized OfficialTabatha PerryManager, Provider Enrollment · (901) 478-0954
Enumeration DateJune 1, 2010
Last NPPES UpdateSeptember 22, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2025
✔ NPI 1174842181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
7460 WOLF RIVER BLVD, Germantown, TN 38138
Open in Google Maps ↗

Other Identifiers 3

Medicaid183763002AR
Medicaid1519260TN
Other4269952TN · Bcbs Tn

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 from Louisiana Healthcare Connections, Ambetter Health 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)

Specialty Physician Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

123

Medicare enrollment records show 123 clinicians reassign Medicare billing to Specialty Physician Group LLC, which bills Medicare for the services they deliver. Of these, 28 practice at this address and 59 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner57
Interventional Cardiology26
Cardiovascular Disease (Cardiology)17
Thoracic Surgery8
Cardiac Electrophysiology7
Cardiac Surgery5
Internal Medicine2
Hospitalist1

Nearest to this location (20)

See all 123
Steven Akins, MD
Interventional Cardiology
NPI 1720088297
7460 WOLF RIVER BLVD
Germantown, TN 38138
(901) 763-0200
✔ PECOSSame address
Keith Anderson, M.D.
Interventional Cardiology
NPI 1770583049
7460 WOLF RIVER BOULEVARD
Germantown, TN 38138
(901) 763-0200
✔ PECOS✔ Accepts MedicareSame address
Jorge Betancor, MD
Interventional Cardiology
NPI 1114241619
7460 WOLF RIVER BLVD
Germantown, TN 38138
(901) 763-0200
✔ PECOS✔ Accepts MedicareSame address
Deiadra Brown, DNP
Nurse Practitioner
NPI 1497204911
7460 WOLF RIVER BLVD
Germantown, TN 38138
(901) 763-0200
✔ PECOS✔ Accepts MedicareSame address
Sherita Crawford, APN
Nurse Practitioner
NPI 1225349251
7460 WOLF RIVER BLVD
Germantown, TN 38138
(901) 763-0200
✔ PECOS✔ Accepts MedicareSame address
Ajay Dalal, MD
Cardiovascular Disease (Cardiology)
NPI 1770583239
7460 WOLF RIVER BOULEVARD
Germantown, TN 38138
(901) 763-0200
✔ PECOS✔ Accepts MedicareSame address
Sarah Dempsey, FNP-C
Nurse Practitioner
NPI 1144823360
7460 WOLF RIVER BLVD
Germantown, TN 38138
(901) 763-0200
✔ PECOS✔ Accepts MedicareSame address
David Flatt, M.D.
Internal Medicine
NPI 1972867422
7460 WOLF RIVER BLVD
Germantown, TN 38138
(901) 763-0200
✔ PECOS✔ Accepts MedicareSame address
Tish Furr, DNP, APRN, FNP-BC
Nurse Practitioner
NPI 1356915623
7460 WOLF RIVER BLVD
Germantown, TN 38138
(901) 763-0200
✔ PECOS✔ Accepts MedicareSame address
Terri Hall, NP
Nurse Practitioner
NPI 1457404154
7460 WOLF RIVER BOULEVARD THE SUTHERLAND CARDIOLOGY CLINIC, P. C.
Germantown, TN 38138
(901) 763-0200
✔ PECOS✔ Accepts MedicareSame address
Jack Hopkins, M.D.
Interventional Cardiology
NPI 1326048877
7460 WOLF RIVER BOULEVARD
Germantown, TN 38138
(901) 763-0200
✔ PECOS✔ Accepts MedicareSame address
Michael Mcdonald, MD
Interventional Cardiology
NPI 1609876036
7460 WOLF RIVER BOULEVARD
Germantown, TN 38138
(901) 763-0200
✔ PECOS✔ Accepts MedicareSame address
Teresa Murphree, FNP-BC
Nurse Practitioner
NPI 1013393958
7460 WOLF RIVER BLVD
Germantown, TN 38138
(901) 763-0200
✔ PECOS✔ Accepts MedicareSame address
Joel Mukesh Raja
Interventional Cardiology
NPI 1821594797
7460 WOLF RIVER BLVD
Germantown, TN 38138
(901) 763-0200
✔ PECOS✔ Accepts MedicareSame address
Maureen Smithers, M.D.
Cardiovascular Disease (Cardiology)
NPI 1962402487
7460 WOLF RIVER BOULEVARD
Germantown, TN 38138
(901) 763-0200
✔ PECOS✔ Accepts MedicareSame address
James Stamper, MD
Cardiovascular Disease (Cardiology)
NPI 1083614572
7460 WOLF RIVER BOULEVARD
Germantown, TN 38138
(901) 763-0200
✔ PECOS✔ Accepts MedicareSame address
David Stewart, MD
Interventional Cardiology
NPI 1619977188
7460 WOLF RIVER BOULEVARD
Germantown, TN 38138
(901) 763-0200
✔ PECOS✔ Accepts MedicareSame address
Sara Wiles, FNP
Nurse Practitioner
NPI 1629431226
7460 WOLF RIVER BLVD
Germantown, TN 38138
(901) 763-0200
✔ PECOS✔ Accepts MedicareSame address
Penney Williams, FNP
Nurse Practitioner
NPI 1053542845
7460 WOLF RIVER BLVD
Germantown, TN 38138
(901) 763-0200
✔ PECOS✔ Accepts MedicareSame address
Vijay Guntupalli, MD., PH.D.
Cardiovascular Disease (Cardiology)
NPI 1053592212
7460 WOLF RIVER BLVD
Germantown, TN 38138
(901) 763-0200
✔ PECOSSame address
See all 123 clinicians

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 44D2006441

Specialty Physician Group, LLC · Germantown, TN
Active · expires Apr 21, 2028
CLIA Number44D2006441
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorKeith G. Anderson
Laboratory Phone(901) 763-0200
Laboratory LocationSpecialty Physician Group, LLC7460 Wolf River Blvd, Suite 200, Germantown, TN 38138
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 44D2081214

Specialty Physician Group, LLC · Memphis, TN
Active · expires Jul 20, 2028
CLIA Number44D2081214
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorOluwaseun A. Akinseye
Laboratory Phone(901) 435-8550
Laboratory LocationSpecialty Physician Group, LLC1211 Union Ave, Suite 965, Memphis, TN 38104
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2017617

Specialty Physicians Group, LLC · Memphis, TN
Active · expires Dec 13, 2026
CLIA Number44D2017617
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2024
Certificate Expiration DateDecember 13, 2026
Laboratory DirectorDr. James J. Stamper
Laboratory Phone(901) 763-0200
Laboratory LocationSpecialty Physicians Group, LLC3950 New Covington Pike Ste 220, Memphis, TN 38128
CLIA data matches this NPI record on: 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 Specialty Physician Group LLC's NPI number?

The NPI number for Specialty Physician Group LLC is 1174842181. It was assigned to this organization in the NPPES registry on June 1, 2010.

Where is Specialty Physician Group LLC located?

Specialty Physician Group LLC is located at 7460 Wolf River Blvd, Germantown, TN 38138. The listed phone number is (901) 763-0200.

What is Specialty Physician Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Specialty Physician Group LLC enrolled in Medicare?

Yes. Specialty Physician Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Specialty Physician Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 123 clinicians in 8 Medicare specialties reassign their Medicare billing to Specialty Physician Group 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. The largest specialties are Nurse Practitioner (57), Interventional Cardiology (26) and Cardiovascular Disease (Cardiology) (17). Of these, 28 practice at this address and 59 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Specialty Physician Group LLC 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 Specialty Physician Group LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Specialty Physician Group LLC 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 Specialty Physician Group LLC was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.