PARK HIGHLAND MEDICAL CLINIC, PLLC
NPI 1689855124
Family Medicine in Memphis, TN
About Park Highland Medical Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARK HIGHLAND MEDICAL CLINIC, PLLC (NPI 1689855124) is a healthcare organization registered as a family medicine in Memphis, Tennessee and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through February 4, 2027 and lists Sudha Prasad, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Park Highland Medical Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Park Highland Medical Clinic, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 44D2161520
Park Highland 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 Park Highland Medical Clinic, PLLC's NPI number?
The NPI number for Park Highland Medical Clinic, PLLC is 1689855124. It was assigned to this organization in the NPPES registry on November 26, 2007.
Where is Park Highland Medical Clinic, PLLC located?
Park Highland Medical Clinic, PLLC is located at 3836 Park Ave, Memphis, TN 38111. The listed phone number is (901) 324-3984.
What is Park Highland Medical Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Park Highland Medical Clinic, PLLC enrolled in Medicare?
Yes. Park Highland Medical Clinic, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Park Highland Medical Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Park Highland Medical Clinic, PLLC, in Family Practice and Internal Medicine. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Park Highland Medical Clinic, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2161520) is associated with this NPI, valid through February 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Park Highland Medical Clinic, PLLC 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 Park Highland Medical Clinic, PLLC 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 Park Highland Medical Clinic, PLLC was last updated on February 19, 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.
# Park Highland Medical Clinic, Pllc · NPI 1689855124
Family Medicine organization in Memphis, Tennessee. Organization record, active in the CMS NPPES registry since November 26, 2007.
## Identity
- **NPI:** 1689855124 (Entity type: Organization)
- **Enumerated:** November 26, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Sudha Prasad, PHYSICIAN
## Practice location
- **Address:** 3836 PARK AVE, Memphis, TN 38111-6633
- **Phone:** (901) 324-3984
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Internal Medicine (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2009
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1689855124) · Data from the CMS NPPES public registry.