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MID-SOUTH MATERNAL FETAL MEDICINE PC
NPI 1184662579
Obstetrics & Gynecology - Maternal & Fetal Medicine in Memphis, TN

Active since June 04, 2006CLIA 44D1017052 · Waiver
6266 POPLAR AVE, MEMPHIS, TN 38119(901) 682-2595(901) 682-2549 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mid-south Maternal Fetal Medicine Pc NPPES

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

MID-SOUTH MATERNAL FETAL MEDICINE PC (NPI 1184662579) is a healthcare organization registered as a maternal & fetal medicine in Memphis, Tennessee and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through September 15, 2027 and lists Carol Brinley, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1184662579
Entity TypeOrganization
Primary Taxonomy207VM0101X
Legal Business NameMID-SOUTH MATERNAL FETAL MEDICINE PC
Location Address6266 POPLAR AVEMemphis, TN 38119-4713
Mailing Address6266 Poplar AveMemphis, TN 38119-4713 · (901) 682-2595 · Fax (901) 682-2549
Phone(901) 682-2595
Fax(901) 682-2549
Organization SubpartNo
Authorized OfficialCarol BrinleyCredentialing Specialist · (901) 255-5221
Enumeration DateJune 4, 2006
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1184662579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
6266 POPLAR AVE, Memphis, TN 38119
Open in Google Maps ↗

Other Identifiers 4

Other8P412AR · Bcbs Ar
Medicaid07470206MS
Medicaid155822002AR
Medicaid3720439TN

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

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)

Mid-south Maternal Fetal Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Mid-South Maternal Fetal Medicine PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Laura Maurizi
Nurse Practitioner
NPI 1801360516
6266 POPLAR AVE
Memphis, TN 38119
(901) 682-2595
✔ PECOSSame address
Shelia Thomas, RN, APN
Nurse Practitioner
NPI 1992999791
6266 POPLAR AVE
Memphis, TN 38119
(901) 682-2595
✔ PECOSSame address
Roy Bors-Koefoed, M.D
Obstetrics/Gynecology
NPI 1871505438
6266 POPLAR AVE
Memphis, TN 38119
(901) 682-2595
✔ PECOS✔ Accepts MedicareSame address
Regina Smith, APN
Nurse Practitioner
NPI 1366596066
3964 GOODMAN RD E STE 131
Southaven, MS 38672
(662) 856-8440
✔ PECOS10 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

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 44D1017052

Mid-South Maternal Fetal Medicine PC · Memphis, TN
Active · expires Sep 15, 2027
CLIA Number44D1017052
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2025
Certificate Expiration DateSeptember 15, 2027
Laboratory DirectorRoy Bors-Koeford MD
Laboratory Phone(901) 227-9625
Laboratory LocationMid-South Maternal Fetal Medicine PC6266 Poplar Avenue, Memphis, TN 38119
CLIA data matches this NPI record on: Address Name
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 Mid-South Maternal Fetal Medicine PC's NPI number?

The NPI number for Mid-South Maternal Fetal Medicine PC is 1184662579. It was assigned to this organization in the NPPES registry on June 4, 2006.

Where is Mid-South Maternal Fetal Medicine PC located?

Mid-South Maternal Fetal Medicine PC is located at 6266 Poplar Ave, Memphis, TN 38119. The listed phone number is (901) 682-2595.

What is Mid-South Maternal Fetal Medicine PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Mid-South Maternal Fetal Medicine PC enrolled in Medicare?

Yes. Mid-South Maternal Fetal Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid-South Maternal Fetal Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Mid-South Maternal Fetal Medicine PC. 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 (3) and Obstetrics/Gynecology (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mid-South Maternal Fetal Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1017052) is associated with this NPI, valid through September 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mid-South Maternal Fetal Medicine PC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Mid-South Maternal Fetal Medicine PC 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 Mid-South Maternal Fetal Medicine PC was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.