ROANE PRIMARY CARE AND FAMILY MEDICINE
NPI 1700720059
Clinic/Center - Primary Care in Memphis, TN
About Roane Primary Care And Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROANE PRIMARY CARE AND FAMILY MEDICINE (NPI 1700720059), doing business as Roane Primary And Urgent Care Clinic, is a healthcare organization registered as a primary care in Memphis, Tennessee and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through June 7, 2028 and lists Shaunta Lea Roane, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Roane Primary Care And Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Roane Primary Care And Family Medicine, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 44D2345249
Roane Primary Care And Family Medicine · 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 Roane Primary Care And Family Medicine's NPI number?
The NPI number for Roane Primary Care And Family Medicine is 1700720059. It was assigned to this organization in the NPPES registry on April 16, 2026. The provider is doing business as Roane Primary and Urgent Care Clinic.
Where is Roane Primary Care And Family Medicine located?
Roane Primary Care And Family Medicine is located at 4913 Raleigh Common Dr Ste 201, Memphis, TN 38128. The listed phone number is (901) 692-8014.
What is Roane Primary Care And Family Medicine's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Roane Primary Care And Family Medicine enrolled in Medicare?
Yes. Roane Primary Care And Family Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Roane Primary Care And Family Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Roane Primary Care And Family 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Roane Primary Care And Family Medicine hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2345249) is associated with this NPI, valid through June 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Roane Primary Care And Family Medicine was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Roane Primary Care And Family Medicine · NPI 1700720059
Primary Care organization in Memphis, Tennessee. Organization record, active in the CMS NPPES registry since April 16, 2026.
## Identity
- **NPI:** 1700720059 (Entity type: Organization)
- **Enumerated:** April 16, 2026
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Roane Primary and Urgent Care Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Shaunta Roane, NURSE PRACTITIONER
## Practice location
- **Address:** 4913 RALEIGH COMMON DR STE 201, Memphis, TN 38128-2485
- **Phone:** (901) 692-8014
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 16, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1700720059) · Data from the CMS NPPES public registry.