NORTH INTERNAL MEDICINE, P. C.
NPI 1518982008
Internal Medicine in Memphis, TN

Active since July 13, 2006CLIA 44D0722987 · Waiver
4901 RALEIGH COMMONS DRIVE, SUITE 200, MEMPHIS, TN 38128(901) 387-0193(901) 387-0796 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About North Internal Medicine, P. C. NPPES

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

NORTH INTERNAL MEDICINE, P. C. (NPI 1518982008) is a healthcare organization registered as an internal medicine in Memphis, Tennessee and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 23, 2028 and lists Dudley Kelso, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1518982008
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNORTH INTERNAL MEDICINE, P. C.
Location Address4901 RALEIGH COMMONS DRIVE, SUITE 200Memphis, TN 38128
Mailing AddressPo Box 216Memphis, TN 38101-0216 · (901) 387-0193 · Fax (901) 387-0193
Fax(901) 387-0796
Organization SubpartNo
Authorized OfficialDudley KelsoOffice Manager · (901) 387-0193
Enumeration DateJuly 13, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1518982008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4901 RALEIGH COMMONS DRIVE, Memphis, TN 38128

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Internal Medicine, P. C. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to North Internal Medicine, P. C., which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1053300335
6570 SUMMER OAKS CV
Bartlett, TN 38134
(901) 373-7100
✔ PECOS✔ Accepts Medicare4.5 mi
Nurse Practitioner
NPI 1356941645
7378 YALE RD
Bartlett, TN 38133
(901) 387-0193
✔ PECOS✔ Accepts Medicare5.9 mi
Nurse Practitioner
NPI 1831474485
7378 YALE RD SUITE A
Bartlett, TN 38133
(901) 387-0193
✔ PECOS✔ Accepts Medicare5.9 mi
Nurse Practitioner
NPI 1124059365
7378 YALE RD
Bartlett, TN 38133
(901) 387-0193
✔ PECOS✔ Accepts Medicare5.9 mi
Internal Medicine
NPI 1316974132
7378 YALE RD
Bartlett, TN 38133
(901) 387-0193
✔ PECOS✔ Accepts Medicare5.9 mi
Nurse Practitioner
NPI 1235002189
7378 YALE RD
Bartlett, TN 38133
(907) 378-0193
✔ PECOS✔ Accepts Medicare5.9 mi

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 44D0722987

North Internal Medicine PC · Memphis, TN
Active · expires Jan 23, 2028
CLIA Number44D0722987
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorDr. Douglas L. Odea
Laboratory Phone(901) 387-0193
Laboratory LocationNorth Internal Medicine PC7378 Yale Rd, Memphis, TN 38133
CLIA data matches this NPI record on: 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 North Internal Medicine, P. C.'s NPI number?

The NPI number for North Internal Medicine, P. C. is 1518982008. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is North Internal Medicine, P. C. located?

North Internal Medicine, P. C. is located at 4901 Raleigh Commons Drive Suite 200, Memphis, TN 38128. The listed phone number is (901) 387-0193.

What is North Internal Medicine, P. C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is North Internal Medicine, P. C. enrolled in Medicare?

Yes. North Internal Medicine, P. C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Internal Medicine, P. C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to North Internal Medicine, P. C.. 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 Nurse Practitioner (5) and Internal Medicine (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does North Internal Medicine, P. C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0722987) is associated with this NPI, valid through January 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Internal Medicine, P. C. 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 6 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.