1. Home
  2. Directory
  3. Tennessee
  4. Memphis
  5. Pediatrics
  6. NPI Profile

MEMPHIS CHILDREN'S CLINIC, PLLC
NPI 1255411294
Pediatrics in Memphis, TN

Active since October 16, 2006CLIA 44D0677246 · Certificate of Compliance
1129 HALE RD, MEMPHIS, TN 38116(901) 396-0390(901) 396-3728 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Memphis Children's Clinic, Pllc NPPES

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

MEMPHIS CHILDREN'S CLINIC, PLLC (NPI 1255411294) is a healthcare organization registered as a pediatrics in Memphis, Tennessee and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 12, 2027 and lists Robert M Bertin, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1255411294
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMEMPHIS CHILDREN'S CLINIC, PLLC
Location Address1129 HALE RDMemphis, TN 38116-6373
Mailing Address1129 Hale RdMemphis, TN 38116-6373 · (901) 396-0390 · Fax (901) 396-3728
Phone(901) 396-0390
Fax(901) 396-3728
Organization SubpartNo
Authorized OfficialRobert M BertinPractice Manager · (901) 396-0390
Enumeration DateOctober 16, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1255411294 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.
1129 HALE RD, Memphis, TN 38116
Open in Google Maps ↗

Other Identifiers 1

Medicaid3382354TN

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

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 Compliance 44D0677246

Memphis Childrens Clinic, PLLC · Memphis, TN
Active · expires Apr 12, 2027
CLIA Number44D0677246
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorDr. Oluwaseun E. Orebiyi-Heinkel
Laboratory Phone(901) 396-0390
Laboratory LocationMemphis Childrens Clinic, PLLC1129 Hale Road, Memphis, TN 38116
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

DR. BRADLEY K JONES MD
Pediatrics
1129 HALE RD
MEMPHIS, TN 38116
Shelby County (901) 396-0390
DR. JEFFREY D THOMPSON MD
Pediatrics
1129 HALE RD
MEMPHIS, TN 38116
Shelby County (901) 396-0390
DR. ANNA MARIA DURHAM M.D.
Pediatrics
1129 HALE RD
MEMPHIS, TN 38116
Shelby County (901) 396-0390
DR. FARANAK MOTAGHIAN MD
Pediatrics
1129 HALE RD
MEMPHIS, TN 38116
Shelby County (901) 396-0390
DR. DOROTHY H BUTLER M.D.
Pediatrics
1129 HALE RD
MEMPHIS, TN 38116
Shelby County (901) 396-0390
JOANNE K LEVINE M.D.
Pediatrics
1129 HALE RD
MEMPHIS, TN 38116
Shelby County (901) 396-0390
DR. TIMOTHY G GILLESPIE M.D.
Pediatrics
1129 HALE RD
MEMPHIS, TN 38116
Shelby County (901) 396-0390
WHITNEY SANDERS MD
Pediatrics
1129 HALE RD
MEMPHIS, TN 38116
Shelby County (901) 396-0390

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 Memphis Children's Clinic, PLLC's NPI number?

The NPI number for Memphis Children's Clinic, PLLC is 1255411294. It was assigned to this organization in the NPPES registry on October 16, 2006.

Where is Memphis Children's Clinic, PLLC located?

Memphis Children's Clinic, PLLC is located at 1129 Hale Rd, Memphis, TN 38116. The listed phone number is (901) 396-0390.

What is Memphis Children's Clinic, PLLC's specialty?

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

Does Memphis Children's Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D0677246) is associated with this NPI, valid through April 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Memphis Children's Clinic, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.