MEMPHIS PRIMARY CARE SPECIALISTS
NPI 1629237292
Family Medicine in Memphis, TN

Active since June 08, 2008CLIA 44D2278032 · Waiver
3055 WATSON ST, MEMPHIS, TN 38118(901) 369-6001 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Memphis Primary Care Specialists NPPES

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

MEMPHIS PRIMARY CARE SPECIALISTS (NPI 1629237292) is a healthcare organization registered as a family medicine in Memphis, Tennessee and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through March 8, 2027, maintains 2 additional practice locations, and lists Shoaib Qureshi, Owner, as its authorized official.

NPPES Registry Identity

NPI1629237292
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEMPHIS PRIMARY CARE SPECIALISTS
Location Address3055 WATSON STMemphis, TN 38118-3011
Mailing Address3055 Watson St.Memphis, TN 38118-3035 · (901) 384-9920
Organization SubpartNo
Authorized OfficialShoaib QureshiOwner · (901) 369-6008
Enumeration DateJune 8, 2008
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1629237292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3055 WATSON ST, Memphis, TN 38118

Secondary Practice Locations 2

Location 13960 Knight Arnold Rd, Suite 102Memphis, TN 38118-3035 · Phone (901) 369-6008
Location 22900 Kirby Rd Ste 5Memphis, TN 38119-8205 · Phone (901) 369-6008

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)

Memphis Primary Care Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Memphis Primary Care Specialists, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1285792648
3960 KNIGHT ARNOLD RD SUITE 102
Memphis, TN 38118
(901) 369-6000
✔ PECOS0.1 mi
Family Practice
NPI 1417056250
7865 EDUCATORS LANE, SUITE 300
Memphis, TN 38133
(901) 384-9920
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1912284415
7865 EDUCATORS LN 3RD FLOOR
Bartlett, TN 38133
(901) 384-9920
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1629413091
7865 EDUCATORS LN STE 110
Bartlett, TN 38133
(901) 384-9920
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1760401426
346 NEW BYHALIA RD STE 3 UNIQUE MEDICAL CENTER
Collierville, TN 38017
(901) 853-1734
✔ PECOS✔ Accepts Medicare14 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 44D2278032

Memphis Primary Care Specialists · Memphis, TN
Active · expires Mar 8, 2027
CLIA Number44D2278032
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorShoaib Qureshi
Laboratory Phone(901) 369-6008
Laboratory LocationMemphis Primary Care Specialists3055 Watson Street, Memphis, TN 38118
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 Memphis Primary Care Specialists's NPI number?

The NPI number for Memphis Primary Care Specialists is 1629237292. It was assigned to this organization in the NPPES registry on June 8, 2008.

Where is Memphis Primary Care Specialists located?

Memphis Primary Care Specialists is located at 3055 Watson St, Memphis, TN 38118. The listed phone number is (901) 369-6001.

What is Memphis Primary Care Specialists's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Memphis Primary Care Specialists enrolled in Medicare?

Yes. Memphis Primary Care Specialists is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Memphis Primary Care Specialists?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Memphis Primary Care Specialists. 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 (4) and Family Practice (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Memphis Primary Care Specialists hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2278032) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Memphis Primary Care Specialists accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Memphis Primary Care Specialists 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 Memphis Primary Care Specialists was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.