MEMPHIS & SHELBY COUNTY PED. GROUP
NPI 1710067020
Pediatrics in Memphis, TN

NPI Status: Active since October 17, 2006

Contact Information

1444 E SHELBY DR
SUITE 317
MEMPHIS, TN
ZIP 38116
Phone: (901) 396-8281

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  • Organization
  • Pediatrics
  • CLIA Number: 44D0967471
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 11-14-2025

About MEMPHIS & SHELBY COUNTY PED. GROUP

This page provides the complete NPI Profile along with additional information for Memphis & Shelby County Ped. Group, a pediatrician established in Memphis, Tennessee operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1710067020 assigned on October 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Katherine Carter (Billing Supervisor)

NPI
1710067020
Provider Name
MEMPHIS & SHELBY COUNTY PED. GROUP
Entity Type
Organization
Location Address
1444 E SHELBY DR SUITE 317 MEMPHIS, TN 38116
Location Phone
(901) 396-8281
Mailing Address
1444 E SHELBY DR SUITE 317 MEMPHIS, TN 38116
Mailing Phone
(901) 396-8281
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-17-2006
Last Update Date
03-18-2014
Code Navigator

A pediatrician like Memphis & Shelby County Ped. Group is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. KATHERINE CARTER

Authorized Official Title
BILLING SUPERVISOR
Authorized Official Phone
(901) 396-8366

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D0967471
Facility Type
School/Student Health Service
Certificate Effective Date
November 15, 2023
Certificate Expiration Date
November 14, 2025
Laboratory Director
EMMANUEL KPABITEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Memphis & Shelby County Ped. Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1710067020, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 2 + 0 + 0 + 6 + 1 + 4 + 0 + 4 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1710067020.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Pediatrics
1444 E SHELBY DR, STE 317
MEMPHIS, TN 38116
Pediatrics
1444 E SHELBY DR, STE 317
MEMPHIS, TN 38116
Orthopaedic Surgery
1444 E SHELBY DR, STE 203
MEMPHIS, TN 38116
Counselor (Mental Health)
1444 E SHELBY DR, SUITE 429
MEMPHIS, TN 38116
Nurse Practitioner (Family)
1444 E SHELBY DR
MEMPHIS, TN 38116
Marriage & Family Therapist
1444 E SHELBY DR, 429
MEMPHIS, TN 38116

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710067020, enumerated as an "organization" on October 17, 2006.

The provider is located at 1444 E SHELBY DR SUITE 317 MEMPHIS, TN 38116 and the phone number is (901) 396-8281.

Pediatrics with taxonomy code 208000000X.