DEDICATED SENIOR MEDICAL CENTER SOUTHEAST MEMPHIS
NPI 1245866896
Non-Pharmacy Dispensing Site in Memphis, TN

Q: What is Dedicated Physicians Group Of Tennessee, PLLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since March 16, 2020CLIA 44D2188082 · Waiver

5131 QUINCE RD, MEMPHIS, TN 38117(901) 440-3044 Get Directions Write a Review

NPPES record last updated: December 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 24, 2020, May 13, 2020, Mar 16, 2020 (3 updates tracked since 2020).

On this page

About Dedicated Senior Medical Center Southeast Memphis NPPES

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

DEDICATED SENIOR MEDICAL CENTER SOUTHEAST MEMPHIS (NPI 1245866896) is a healthcare organization registered as a non-pharmacy dispensing site in Memphis, Tennessee and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through July 12, 2028 and lists Mary Chen, Exec Officer, as its authorized official.

NPPES Registry Identity

NPI1245866896

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameDEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC

Location Address5131 QUINCE RDMemphis, TN 38117-6846

Mailing Address1395 Nw 167th StMiami, FL 33169-5710 · (305) 628-6117

Phone(901) 440-3044

Organization SubpartYes

Authorized OfficialMary ChenExec Officer · (305) 628-6117

Enumeration DateMarch 16, 2020

Last NPPES UpdateDecember 24, 20203 updates tracked since enumeration

NPPES CertifiedDecember 24, 2020

✔ NPI 1245866896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

5131 QUINCE RD, Memphis, TN 38117

Open in Google Maps ↗

Other Names 1

Doing Business AsDedicated Senior Medical Center Southeast Memphis

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 44D2188082

Dedicated Senior Medical Center-Southeast Memphis · Memphis, TN

Active · expires Jul 12, 2028

CLIA Number44D2188082

Laboratory TypePhysician Office

Certificate Effective DateJuly 13, 2026

Certificate Expiration DateJuly 12, 2028

Laboratory DirectorDr. Gordon Chen

Laboratory Phone(305) 842-3910

Laboratory LocationDedicated Senior Medical Center-Southeast Memphis5131 Quince Road, Memphis, TN 38117

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

TEMITOPE OLADOKUN OLAGBAIYE NP

Nurse Practitioner (Family)