MY CLINIC MEMPHIS, LLC
NPI 1366234023
Clinic/Center - Primary Care in Memphis, TN
About My Clinic Memphis, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MY CLINIC MEMPHIS, LLC (NPI 1366234023), doing business as My Clinic Memphis, is a healthcare organization registered as a primary care in Memphis, Tennessee and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through December 29, 2027 and lists Elisheva Reese, Family Nurse Practitioner / Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
My Clinic Memphis, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to My Clinic Memphis, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 44D2336267
My Clinic Memphis · Memphis, TNFrequently 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 My Clinic Memphis, LLC's NPI number?
The NPI number for My Clinic Memphis, LLC is 1366234023. It was assigned to this organization in the NPPES registry on May 20, 2025. The provider is doing business as My Clinic Memphis.
Where is My Clinic Memphis, LLC located?
My Clinic Memphis, LLC is located at 4901 Raleigh Common Dr Ste 100, Memphis, TN 38128. The listed phone number is (901) 545-4331.
What is My Clinic Memphis, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is My Clinic Memphis, LLC enrolled in Medicare?
Yes. My Clinic Memphis, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through My Clinic Memphis, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to My Clinic Memphis, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does My Clinic Memphis, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2336267) is associated with this NPI, valid through December 29, 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 My Clinic Memphis, LLC was last updated on March 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# My Clinic Memphis, Llc · NPI 1366234023
Primary Care organization in Memphis, Tennessee. Organization record, active in the CMS NPPES registry since May 20, 2025.
## Identity
- **NPI:** 1366234023 (Entity type: Organization)
- **Enumerated:** May 20, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** My Clinic Memphis (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Elisheva Reese, FAMILY NURSE PRACTITIONER / OWNER
## Practice location
- **Address:** 4901 RALEIGH COMMON DR STE 100, Memphis, TN 38128-2478
- **Phone:** (901) 545-4331
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 22, 2026
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1366234023) · Data from the CMS NPPES public registry.