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MEMPHIS CHILDREN'S CLINIC, PLLC
NPI 1295815116
Pediatrics in Memphis, TN

Active since October 16, 2006CLIA 44D0677022 · Certificate of Compliance
6615 KIRBY CENTER CV, MEMPHIS, TN 38115(901) 795-9193(901) 363-8045 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

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 1295815116) 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 November 12, 2027 and lists Robert M Bertin, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1295815116
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMEMPHIS CHILDREN'S CLINIC, PLLC
Location Address6615 KIRBY CENTER CVMemphis, TN 38115-4313
Mailing Address1129 Hale RdMemphis, TN 38116-6373 · (901) 396-0390 · Fax (901) 396-3728
Phone(901) 795-9193
Fax(901) 363-8045
Organization SubpartNo
Authorized OfficialRobert M BertinPractice Manager · (901) 396-0390
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1295815116 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.
6615 KIRBY CENTER CV, Memphis, TN 38115
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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 44D0677022

Memphis Children's Clinic · Memphis, TN
Active · expires Nov 12, 2027
CLIA Number44D0677022
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorDr. Oluwaseun Heinkel
Laboratory Phone(901) 795-9193
Laboratory LocationMemphis Children's Clinic6615 Kirby Center Cove, Memphis, TN 38115
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.

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 1295815116. 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 6615 Kirby Center Cv, Memphis, TN 38115. The listed phone number is (901) 795-9193.

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 44D0677022) is associated with this NPI, valid through November 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 July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.