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PREMIER PEDIATRICS OF MEMPHIS, PLLC
NPI 1235875576
Pediatrics in Lakeland, TN

Active since May 10, 2022CLIA Certified · 2 labs
9160 HWY 64, STE 5, LAKELAND, TN 38002(901) 259-9200(888) 494-2188 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Premier Pediatrics Of Memphis, Pllc NPPES

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

PREMIER PEDIATRICS OF MEMPHIS, PLLC (NPI 1235875576) is a healthcare organization registered as a pediatrics in Lakeland, Tennessee and active in the NPI registry since May 2022. The organization holds 2 active CLIA laboratory certificates and lists Angela Marie Black, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1235875576
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePREMIER PEDIATRICS OF MEMPHIS, PLLC
Location Address9160 HWY 64, STE 5Lakeland, TN 38002
Mailing AddressPo Box 248Cordova, TN 38088-0248
Phone(901) 259-9200
Fax(888) 494-2188
Organization SubpartNo
Authorized OfficialAngela Marie BlackPractice Administrator · (901) 259-9200
Enumeration DateMay 10, 2022
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1235875576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

9160 HWY 64, Lakeland, TN 38002
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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

CLIA Laboratory Certificates CMS CLIA 2

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 Compliance 44D1036493

Premier Pediatrics Of Memphis, PLLC Dba Premier Pediatrics Of Cordova · Cordova, TN
Active · expires Jun 5, 2027
CLIA Number44D1036493
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorMary C. Raggett
Laboratory Phone(901) 259-9200
Laboratory LocationPremier Pediatrics Of Memphis, PLLC Dba Premier Pediatrics Of Cordova1250 N Germantown Pkwy, Suite 115, Cordova, TN 38016
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 44D2267923

Premier Pediatrics Of Memphis, PLLC · Memphis, TN
Active · expires Sep 1, 2026
CLIA Number44D2267923
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2024
Certificate Expiration DateSeptember 1, 2026
Laboratory DirectorDr. Monica Wright
Laboratory Phone(901) 259-9200
Laboratory LocationPremier Pediatrics Of Memphis, PLLC4705 Elvis Presley Blvd, Memphis, TN 38116
CLIA data matches this NPI record on: Name 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 Premier Pediatrics Of Memphis, PLLC's NPI number?

The NPI number for Premier Pediatrics Of Memphis, PLLC is 1235875576. It was assigned to this organization in the NPPES registry on May 10, 2022.

Where is Premier Pediatrics Of Memphis, PLLC located?

Premier Pediatrics Of Memphis, PLLC is located at 9160 Hwy 64 Ste 5, Lakeland, TN 38002. The listed phone number is (901) 259-9200.

What is Premier Pediatrics Of Memphis, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Premier Pediatrics Of Memphis, PLLC hold CLIA laboratory certificates?

Yes. 2 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.

When was this NPI record last updated?

The NPPES record for Premier Pediatrics Of Memphis, PLLC was last updated on June 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.