MEMPHIS & SHELBY COUNTY PEDIATRIC GROUP
NPI 1487797536
Pediatrics - Adolescent Medicine in Memphis, TN

Q: What is Memphis & Shelby County Pediatric Group's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since February 15, 2007CLIA 44D0314283 · Certificate of Compliance

6479 WINCHESTER RD, SUITE 118, MEMPHIS, TN 38115(901) 866-2133(901) 866-2136 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Memphis & Shelby County Pediatric Group NPPES

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

MEMPHIS & SHELBY COUNTY PEDIATRIC GROUP (NPI 1487797536) is a healthcare organization registered as an adolescent medicine in Memphis, Tennessee and active in the NPI registry since February 2007. The organization holds a CLIA Certificate of Compliance certificate valid through January 24, 2027 and lists Katherine Carter, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1487797536

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NameMEMPHIS & SHELBY COUNTY PEDIATRIC GROUP

Location Address6479 WINCHESTER RD, SUITE 118Memphis, TN 38115-4240

Mailing Address1444 E Shelby Dr, Suite 317Memphis, TN 38116-7260 · (901) 396-8281

Phone(901) 866-2133

Fax(901) 866-2136

Organization SubpartNo

Authorized OfficialKatherine CarterBilling Supervisor · (901) 396-8366

Enumeration DateFebruary 15, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1487797536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

6479 WINCHESTER RD, Memphis, TN 38115

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Other Identifiers 2

Other117847TN · Unison

Other5598466TN · Aetna

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 44D0314283

Memphis And Shelby County Pediatric Group · Memphis, TN

Active · expires Jan 24, 2027

CLIA Number44D0314283

Laboratory TypePhysician Office

Certificate Effective DateJanuary 25, 2025

Certificate Expiration DateJanuary 24, 2027

Laboratory DirectorDr. William Terrell Jr

Laboratory Phone(901) 396-8282

Laboratory LocationMemphis And Shelby County Pediatric Group1444 East Shelby Drive Suite 317, Memphis, TN 38116

CLIA data matches this NPI record on: Address

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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CATHY LYNN BRASWELL O.D.

Optometrist (Corneal and Contact Management)

6479 WINCHESTER RD
MEMPHIS, TN 38115

Shelby County (901) 365-9732

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 & Shelby County Pediatric Group's NPI number?

The NPI number for Memphis & Shelby County Pediatric Group is 1487797536. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Memphis & Shelby County Pediatric Group located?

Memphis & Shelby County Pediatric Group is located at 6479 Winchester Rd Suite 118, Memphis, TN 38115. The listed phone number is (901) 866-2133.

What is Memphis & Shelby County Pediatric Group's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Memphis & Shelby County Pediatric Group hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D0314283) is associated with this NPI, valid through January 24, 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 & Shelby County Pediatric Group 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 5 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.