SHEPHARD PRIMARY CARE
NPI 1659752103
Nurse Practitioner - Primary Care in Memphis, TN

Active since June 10, 2015CLIA 44D2216085 · Waiver
3238 PLAYERS CLUB CIR STE 58&59, MEMPHIS, TN 38125(901) 869-5744(901) 794-4128 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2022, May 21, 2019, May 6, 2019 (3 updates tracked since 2019).

About Shephard Primary Care NPPES

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

SHEPHARD PRIMARY CARE (NPI 1659752103) is a healthcare organization registered as a primary care in Memphis, Tennessee and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through March 8, 2027 and lists Addie Marchant, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1659752103
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameCOMMUNITY TRANSITION NURSE CARE MANAGER, LLC
Location Address3238 PLAYERS CLUB CIR STE 58&59Memphis, TN 38125-8843
Mailing Address4405 Timber JumpMemphis, TN 38141-7395 · (901) 550-1486
Fax(901) 794-4128
Organization SubpartNo
Authorized OfficialAddie MarchantOwner/ceo · (901) 550-1486
Enumeration DateJune 10, 2015
Last NPPES UpdateAugust 4, 20223 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
NPI 1659752103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedNursing CareTaxonomy 251J00000X · License 1000000016409 (TN)
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedNurse PractitionerTaxonomy 363L00000X
3238 PLAYERS CLUB CIR STE 58&59, Memphis, TN 38125

Other Names 1

Doing Business AsShephard Primary Care

Other Identifiers 1

MedicaidQ013486TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 44D2216085

Community Transition Nurse Care Manager LLC · Memphis, TN
Active · expires Mar 8, 2027
CLIA Number44D2216085
Laboratory TypeNurse Practitioner
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorJohn D. Marchant
Laboratory Phone(901) 869-5744
Laboratory LocationCommunity Transition Nurse Care Manager LLC3238 Players Club Circle, Memphis, TN 38125
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
3238 PLAYERS CLUB CIR STE 58&59
MEMPHIS, TN 38125

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 Community Transition Nurse Care Manager, LLC's NPI number?

The NPI number for Community Transition Nurse Care Manager, LLC is 1659752103. It was assigned to this organization in the NPPES registry on June 10, 2015. The provider is doing business as Shephard Primary Care.

Where is Community Transition Nurse Care Manager, LLC located?

Community Transition Nurse Care Manager, LLC is located at 3238 Players Club Cir Ste 58&59, Memphis, TN 38125. The listed phone number is (901) 869-5744.

What is Community Transition Nurse Care Manager, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Community Transition Nurse Care Manager, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2216085) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Transition Nurse Care Manager, LLC was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.