SHEA CLINIC
NPI 1568427128
Specialist in Memphis, TN

Q: 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.

Q: What is Shea Clinic's specialty?

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

Q: 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.

Active since April 18, 2006CLIA 44D0314799 · Waiver

6133 POPLAR PIKE, MEMPHIS, TN 38119(901) 761-9720(901) 683-8440 Get Directions Write a Review

NPPES record last updated: April 24, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 holds a CLIA Waiver certificate valid through October 26, 2026 and lists John R Gross, Administrator, as its authorized official.

NPPES Registry Identity

NPI1568427128

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSHEA CLINIC

Location Address6133 POPLAR PIKEMemphis, TN 38119-4707

Mailing AddressPo Box 17987Memphis, TN 38187-0987 · (901) 761-9720 · Fax (901) 683-8440

Phone(901) 761-9720

Fax(901) 683-8440

Organization SubpartNo

Authorized OfficialJohn R GrossAdministrator · (901) 761-9720

Enumeration DateApril 18, 2006

Last NPPES UpdateApril 24, 2009

✔ NPI 1568427128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

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.

6133 POPLAR PIKE, Memphis, TN 38119

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Other Identifiers 1

Medicare ID-Type Unspecified3371125TN · Group Medicare Number

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 Waiver 44D0314799

Shea Clinic · Memphis, TN

Active · expires Oct 26, 2026

CLIA Number44D0314799

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 27, 2024

Certificate Expiration DateOctober 26, 2026

Laboratory DirectorPaul F. Shea MD

Laboratory Phone(901) 761-9720

Laboratory LocationShea Clinic6133 Poplar Pike, Memphis, TN 38119

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

DR. JESSICA BEDWELL RIPPY AU.D.

Audiologist-Hearing Aid Fitter