NORTH MEMPHIS MEDICAL CLINIC
NPI 1629370648
Clinic/Center in Memphis, TN
About North Memphis Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH MEMPHIS MEDICAL CLINIC (NPI 1629370648) is a healthcare organization registered as a clinic/center in Memphis, Tennessee and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through October 18, 2027 and lists Emmanuel Iloh, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
North Memphis Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to North Memphis Medical Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 44D2031426
North Memphis Medical 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 North Memphis Medical Clinic's NPI number?
The NPI number for North Memphis Medical Clinic is 1629370648. It was assigned to this organization in the NPPES registry on November 23, 2010.
Where is North Memphis Medical Clinic located?
North Memphis Medical Clinic is located at 3950 New Covington Pike Suite # 130, Memphis, TN 38128. The listed phone number is (347) 423-2301.
What is North Memphis Medical Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is North Memphis Medical Clinic enrolled in Medicare?
Yes. North Memphis Medical Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Memphis Medical Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to North Memphis Medical Clinic, in Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does North Memphis Medical Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2031426) is associated with this NPI, valid through October 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does North Memphis Medical Clinic accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list North Memphis Medical 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 North Memphis Medical Clinic was last updated on November 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# North Memphis Medical Clinic · NPI 1629370648
Clinic/Center organization in Memphis, Tennessee. Organization record, active in the CMS NPPES registry since November 23, 2010.
## Identity
- **NPI:** 1629370648 (Entity type: Organization)
- **Enumerated:** November 23, 2010
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Emmanuel Iloh, MEDICAL DIRECTOR
## Practice location
- **Address:** 3950 NEW COVINGTON PIKE, SUITE # 130, Memphis, TN 38128-2591
- **Phone:** (347) 423-2301
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Internal Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 23, 2010
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629370648) · Data from the CMS NPPES public registry.