SHELBY COUNTY HEALTH DEPARTMENT
NPI 1396766655
Clinical Nurse Specialist - Community Health/Public Health in Memphis, TN
NPI Status: Active since July 22, 2006
Contact Information
814 JEFFERSON AVE
MEMPHIS, TN
ZIP 38105
Phone: (901) 222-9098
Fax: (901) 222-9099
- Organization
- Clinical Nurse Specialist
- Community Health/Public Health
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 44D1019837
- CLIA Cert. Type: Other - METRO HEALTH DEPT
- CLIA Exp. Date: 02-06-2028
About SHELBY COUNTY HEALTH DEPARTMENT
This page provides the complete NPI Profile along with additional information for Shelby County Health Department, a provider established in Memphis, Tennessee operating as a Clinical Nurse Specialist, focusing in community health/public health . The healthcare provider is registered in the NPI registry with number 1396766655 assigned on July 2006. The practitioner's primary taxonomy code is 364SC1501X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Shelby County Health Department operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Shelby County Health Department. The authorized official of this NPI record is Dr. Helen Georgeanna Morrow M.d.,m.p.a. (Health Officer)
- NPI
- 1396766655
- Provider Legal Name
- SHELBY COUNTY GOVERNMENT
- Other Organization Name
- SHELBY COUNTY HEALTH DEPARTMENT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 814 JEFFERSON AVE MEMPHIS, TN 38105
- Location Phone
- (901) 222-9098
- Location Fax
- (901) 222-9099
- Mailing Address
- 814 JEFFERSON AVE MEMPHIS, TN 38105
- Mailing Phone
- (901) 222-9098
- Mailing Fax
- (901) 222-9099
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-22-2006
- Last Update Date
- 05-02-2013
- Code Navigator
A Clinical Nurse Specialist (CNS) like Shelby County Health Department is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.
Shelby County Health Department is a medicare supplier with PTAN 24548124 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Nurse Specialist Community Health/Public Health
- Taxonomy Code
- 364SC1501X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 122300000X | Dental Providers | Dentist | |
| 2 | 126800000X | Dental Providers | Dental Assistant | |
| 3 | 163W00000X | Nursing Service Providers | Registered Nurse | |
| 4 | 164W00000X | Nursing Service Providers | Licensed Practical Nurse | |
| 5 | 183500000X | Pharmacy Service Providers | Pharmacist | |
| 6 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | |
| 7 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | |
| 8 | 231H00000X | Speech, Language and Hearing Service Providers | Audiologist | |
| 9 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | |
| 10 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3911600 | MEDICARE ID-TYPE UNSPECIFIED (04) | TN | GROUP PROVIDER NUMBER |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 24548124
- Accepts Medicare Assignment
- YES
- Specialities List
- Hospital, Pharmacy.
- Competitive Bidding
- NO
Supplies List
- Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
- Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
- Infusion Drugs -
- Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
- Oral Anticancer Drugs - FDA anticancer drugs
- Oral Antiemetic Drugs - FDA antiemetic drugs
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D1019837
- Facility Type
- Other - METRO HEALTH DEPT
- Certificate Effective Date
- February 07, 2026
- Certificate Expiration Date
- February 06, 2028
- Laboratory Director
- BRUCE WENDELL RANDOLPH
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Shelby County Health Department in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1396766655, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MEMPHIS, TN 38105
MEMPHIS, TN 38105
MEMPHIS, TN 38105
MEMPHIS, TN 38105
MEMPHIS, TN 38105
MEMPHIS, TN 38105
MEMPHIS, TN 38105
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396766655, enumerated as an "organization" on July 22, 2006.
The provider is located at 814 JEFFERSON AVE MEMPHIS, TN 38105 and the phone number is (901) 222-9098.
Clinical Nurse Specialist with taxonomy code 364SC1501X and a focus in Community Health/Public Health.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.