PARK HIGHLAND MEDICAL CLINIC, PLLC
NPI 1689855124
Family Medicine in Memphis, TN

Active since November 26, 2007CLIA 44D2161520 · Waiver
3836 PARK AVE, MEMPHIS, TN 38111(901) 324-3984 Get Directions Write a Review

NPPES record last updated: February 19, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1689855124
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePARK HIGHLAND MEDICAL CLINIC, PLLC
Location Address3836 PARK AVEMemphis, TN 38111-6633
Mailing AddressPo Box 17962Memphis, TN 38187-0962
Organization SubpartNo
Authorized OfficialSudha PrasadPhysician · (901) 324-3984
Enumeration DateNovember 26, 2007
Last NPPES UpdateFebruary 19, 2009
NPI 1689855124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedInternal MedicineTaxonomy 207R00000X
3836 PARK AVE, Memphis, TN 38111

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

Accepted Insurance

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, TN
Active · expires Feb 4, 2027
CLIA Number44D2161520
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorDr. Bheerendra R. Prasad
Laboratory Phone(901) 324-3984
Laboratory LocationPark Highland Medical Clinic3325 Kirby Parkway Suite 102, Memphis, TN 38115
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 2

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

Family Medicine
3836 PARK AVE
MEMPHIS, TN 38111
Internal Medicine
3836 PARK AVE
MEMPHIS, TN 38111

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 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.

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 from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina 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.