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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: July 26, 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
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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 from Magnolia Health and more.Insurance ›

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.

Other Providers at the Same Location NPPES 20

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

MRS. TERESA MURPHREE FNP-BC
Nurse Practitioner (Family)
7460 WOLF RIVER BLVD
GERMANTOWN, TN 38138
Shelby County (901) 763-0200
MRS. PENNEY L WILLIAMS FNP
Nurse Practitioner (Family)
7460 WOLF RIVER BLVD
GERMANTOWN, TN 38138
Shelby County (901) 763-0200
DR. VIJAY KUMAR GUNTUPALLI MD., PH.D.
Internal Medicine (Cardiovascular Disease)
7460 WOLF RIVER BLVD
GERMANTOWN, TN 38138
Shelby County (901) 763-0200
DR. JORGE BETANCOR MD
Internal Medicine (Interventional Cardiology)
7460 WOLF RIVER BLVD
GERMANTOWN, TN 38138
Shelby County (901) 763-0200
HEATHER SMITH FNP
Nurse Practitioner (Family)
7460 WOLF RIVER BLVD
GERMANTOWN, TN 38138
Shelby County (901) 763-0200
SARAH POTEET DEMPSEY FNP-C
Nurse Practitioner (Family)
7460 WOLF RIVER BLVD
GERMANTOWN, TN 38138
Shelby County (901) 763-0200
JAVED ABDULLAH MD
Internal Medicine (Cardiovascular Disease)
7460 WOLF RIVER BLVD
GERMANTOWN, TN 38138
Shelby County (901) 763-0200
MRS. SHERITA G. CRAWFORD APN
Nurse Practitioner (Family)
7460 WOLF RIVER BLVD
GERMANTOWN, TN 38138
Shelby County (901) 763-0200

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.

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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer 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 with the weekly NPPES data releases published by CMS.