CHARLES RETINA INSTITUTE PC
NPI 1477556306
Specialist in Germantown, TN

Active since May 24, 2005CLIA 44D2102003 · Waiver
1432 KIMBROUGH RD, GERMANTOWN, TN 38138(901) 767-4499(901) 761-0727 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Charles Retina Institute Pc NPPES

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

CHARLES RETINA INSTITUTE PC (NPI 1477556306) is a healthcare organization registered as a specialist in Germantown, Tennessee and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Jennifer Messer, Administrator, as its authorized official.

NPPES Registry Identity

NPI1477556306
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCHARLES RETINA INSTITUTE PC
Location Address1432 KIMBROUGH RDGermantown, TN 38138-2405
Mailing Address1432 Kimbrough RdGermantown, TN 38138-2405 · (901) 767-4499 · Fax (901) 761-0727
Fax(901) 761-0727
Organization SubpartNo
Authorized OfficialJennifer MesserAdministrator · (901) 767-4499
Enumeration DateMay 24, 2005
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1477556306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TN · MD8675
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1432 KIMBROUGH RD, Germantown, TN 38138

Other Identifiers 1

Medicaid3158650TN

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Retina Institute Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Charles Retina Institute PC, which bills Medicare for the services they deliver. Of these, 13 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Ophthalmology10
Optometry3

Clinicians, nearest first (13)

Ophthalmology
NPI 1821860354
1432 KIMBROUGH RD
Germantown, TN 38138
(901) 767-4499
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1861495780
1432 KIMBROUGH RD
Germantown, TN 38138
(901) 767-4499
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1326363086
1432 KIMBROUGH RD
Germantown, TN 38138
(901) 767-4499
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1811552045
1432 KIMBROUGH RD
Germantown, TN 38138
(901) 767-4499
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1114301645
1432 KIMBROUGH RD
Germantown, TN 38138
(901) 767-4499
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1992022800
1432 KIMBROUGH RD
Germantown, TN 38138
(901) 767-4499
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1750384541
1432 KIMBROUGH RD
Germantown, TN 38138
(901) 767-4499
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1174052237
1432 KIMBROUGH RD
Germantown, TN 38138
(901) 767-4499
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1982337085
1432 KIMBROUGH RD
Germantown, TN 38138
(901) 767-4499
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1689100471
1432 KIMBROUGH RD
Germantown, TN 38138
(901) 767-4499
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1356978977
1432 KIMBROUGH RD
Germantown, TN 38138
(901) 767-4499
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1487218152
1432 KIMBROUGH RD
Germantown, TN 38138
(901) 767-4499
✔ PECOSSame address
Ophthalmology
NPI 1194458612
1432 KIMBROUGH RD
Germantown, TN 38138
(901) 767-4499
✔ PECOS✔ Accepts MedicareSame address

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 44D2102003

Charles Retina Institute · Germantown, TN
Active · expires Sep 14, 2027
CLIA Number44D2102003
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorStephen M. Huddleston
Laboratory Phone(901) 767-4499
Laboratory LocationCharles Retina Institute1432 Kimbrough Road, Germantown, TN 38138
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Charles Retina Institute PC's NPI number?

The NPI number for Charles Retina Institute PC is 1477556306. It was assigned to this organization in the NPPES registry on May 24, 2005.

Where is Charles Retina Institute PC located?

Charles Retina Institute PC is located at 1432 Kimbrough Rd, Germantown, TN 38138. The listed phone number is (901) 767-4499.

What is Charles Retina Institute PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Charles Retina Institute PC enrolled in Medicare?

Yes. Charles Retina Institute PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charles Retina Institute PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Charles Retina Institute PC. 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. The largest specialties are Ophthalmology (10) and Optometry (3). Of these, 13 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Charles Retina Institute PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2102003) is associated with this NPI, valid through September 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Charles Retina Institute PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Sunflower Health Plan and 8 other insurers list Charles Retina Institute PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Retina Institute PC was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.