MID-SOUTH RETINA ASSOCIATES, LLC
NPI 1215963350
Ophthalmology in Memphis, TN

Q: What is Mid-South Retina Associates, LLC's NPI number?

The NPI number for Mid-South Retina Associates, LLC is 1215963350. It was assigned to this organization in the NPPES registry on June 23, 2006.

Q: What is Mid-South Retina Associates, LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since June 23, 2006

6005 PARK AVE, SUITE 624B, MEMPHIS, TN 38119(901) 682-1100(901) 682-6915 Get Directions Write a Review

NPPES record last updated: January 28, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Mid-south Retina Associates, Llc NPPES

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

MID-SOUTH RETINA ASSOCIATES, LLC (NPI 1215963350) is a healthcare organization registered as an ophthalmology in Memphis, Tennessee and active in the NPI registry since June 2006. The organization lists Richard Ervin Sievers, Partner, as its authorized official.

NPPES Registry Identity

NPI1215963350

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameMID-SOUTH RETINA ASSOCIATES, LLC

Location Address6005 PARK AVE, SUITE 624BMemphis, TN 38119-5202

Mailing AddressPo Box 1000 Dept 448Memphis, TN 38148-0448 · (901) 682-1100 · Fax (901) 682-6915

Phone(901) 682-1100

Fax(901) 682-6915

Organization SubpartYes

Authorized OfficialRichard Ervin SieversPartner · (901) 682-1100

Enumeration DateJune 23, 2006

Last NPPES UpdateJanuary 28, 2008

✔ NPI 1215963350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

6005 PARK AVE, Memphis, TN 38119

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Other Identifiers 11

Medicaid3387047TN

Medicare PIN3387047TN

Medicare PINCN2242TN

Medicare UPINH44349TN

Medicare UPINE35201TN

Medicare UPING02244TN

Other0053763TN · Blue Cross Of Tennessee

Other4067262TN · Blue Cross Of Tennessee

Other3066300TN · Blue Cross Of Tennessee

Other3104352TN · Blue Cross Of Tennessee

Medicare UPINA97534TN

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

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 Retina Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 7 clinicians reassign Medicare billing to Mid-South Retina Associates, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Lawrence Gordon, M.D.

Ophthalmology

NPI 1982609665

6005 PARK AVE STE 624B
Memphis, TN 38119

(901) 682-1100

✔ PECOS✔ Accepts MedicareSame address

Tawan Khamapirad, M.D.

Ophthalmology

NPI 1689679441

6005 PARK AVE STE 624B
Memphis, TN 38119

(901) 682-1100

✔ PECOS✔ Accepts MedicareSame address

Richard Sievers, M.D.

Ophthalmology

NPI 1962407791

6005 PARK AVE STE 624B
Memphis, TN 38119

(901) 682-1100

✔ PECOS✔ Accepts MedicareSame address

Steven Williams, M.D.

Ophthalmology

NPI 1457685331

6005 PARK AVE STE 624B
Memphis, TN 38119

(901) 682-1100

✔ PECOS✔ Accepts MedicareSame address

Stephanie Engelhard, MD

Ophthalmology

NPI 1063903003

328 COATSLAND DR
Jackson, TN 38301

(731) 427-7799

✔ PECOS✔ Accepts Medicare69 mi

William Priester, M.D.

Ophthalmology

NPI 1093710857

609 SKYLINE DR
Jackson, TN 38301

(731) 427-7799

✔ PECOS✔ Accepts Medicare69 mi

Anuoluwapo Sopeyin

Ophthalmology

NPI 1568090827

1800 ORLEANS ST
Baltimore, MD 21287

(410) 955-8893

✔ PECOS786 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Retina Associates, LLC's NPI number?

The NPI number for Mid-South Retina Associates, LLC is 1215963350. It was assigned to this organization in the NPPES registry on June 23, 2006.

Where is Mid-South Retina Associates, LLC located?

Mid-South Retina Associates, LLC is located at 6005 Park Ave Suite 624B, Memphis, TN 38119. The listed phone number is (901) 682-1100.

What is Mid-South Retina Associates, LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mid-South Retina Associates, LLC enrolled in Medicare?

Yes. Mid-South Retina Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid-South Retina Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Ophthalmology, reassign their Medicare billing to Mid-South Retina Associates, 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. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mid-South Retina Associates, LLC was last updated on January 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.