SHEA CLINIC
NPI 1568427128
Specialist in Memphis, TN
About Shea Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHEA CLINIC (NPI 1568427128) is a healthcare organization registered as a specialist in Memphis, Tennessee and active in the NPI registry since April 2006. The organization lists John R Gross, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Shea Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Shea Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 44D0314799
Shea Clinic · 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 Shea Clinic's NPI number?
The NPI number for Shea Clinic is 1568427128. It was assigned to this organization in the NPPES registry on April 18, 2006.
Where is Shea Clinic located?
Shea Clinic is located at 6133 Poplar Pike, Memphis, TN 38119. The listed phone number is (901) 761-9720.
What is Shea Clinic's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Shea Clinic enrolled in Medicare?
Yes. Shea Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shea Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Shea Clinic. 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 Otolaryngology (5), Nurse Practitioner (2) and Qualified Audiologist (2). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Shea Clinic accept?
Health plans from Cigna Healthcare list Shea Clinic 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 Shea Clinic was last updated on April 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Shea Clinic · NPI 1568427128
Specialist organization in Memphis, Tennessee. Organization record, active in the CMS NPPES registry since April 18, 2006.
## Identity
- **NPI:** 1568427128 (Entity type: Organization)
- **Enumerated:** April 18, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** John Gross, ADMINISTRATOR
## Practice location
- **Address:** 6133 POPLAR PIKE, Memphis, TN 38119-4707
- **Phone:** (901) 761-9720 · **Fax:** (901) 683-8440
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Otolaryngology (5), Nurse Practitioner (2), Qualified Audiologist (2); 3 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2009
- **Other identifiers:** Medicare ID-Type Unspecified 3371125 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1568427128) · Data from the CMS NPPES public registry.