CODY'S CENTER OF HOPE, DEDICATED PEDIATRIC CARE, PC
NPI 1740778166
Pediatrics in Memphis, TN

Q: What is Cody's Center Of Hope, Dedicated Pediatric Care, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since May 01, 2018CLIA 44D2150389 · Waiver

2565 HORIZON LAKE DR STE 114, MEMPHIS, TN 38133(901) 350-2639(901) 249-4563 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 14, 2018, Jul 20, 2018, Jul 6, 2018 and 2 more (5 updates tracked since 2018).

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About Cody's Center Of Hope, Dedicated Pediatric Care, Pc NPPES

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

CODY'S CENTER OF HOPE, DEDICATED PEDIATRIC CARE, PC (NPI 1740778166) is a healthcare organization registered as a pediatrics in Memphis, Tennessee and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through July 24, 2027 and lists Lori R Holtzman, President, as its authorized official.

NPPES Registry Identity

NPI1740778166

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameCODY'S CENTER OF HOPE, DEDICATED PEDIATRIC CARE, PC

Location Address2565 HORIZON LAKE DR STE 114Memphis, TN 38133-8113

Mailing AddressPo Box 381442Germantown, TN 38183-1442 · (901) 350-2639 · Fax (901) 249-4563

Phone(901) 350-2639

Fax(901) 249-4563

Organization SubpartNo

Authorized OfficialLori R HoltzmanPresident · (901) 350-2639

Enumeration DateMay 1, 2018

Last NPPES UpdateMarch 22, 20225 updates tracked since enumeration

NPPES CertifiedMarch 22, 2022

✔ NPI 1740778166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

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.

2565 HORIZON LAKE DR STE 114, Memphis, TN 38133

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Other Identifiers 2

Medicaid4350171TN

Medicaid3496002TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.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)

Cody's Center Of Hope, Dedicated Pediatric Care, Pc 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 Cody's Center Of Hope, Dedicated Pediatric Care, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lori Holtzman, MD

Pediatric Medicine

NPI 1023018587

2565 HORIZON LAKE DR STE 114
Memphis, TN 38133

(901) 350-2639

✔ PECOSSame address

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 44D2150389

Cody's Center Of Hope, Dedicated Pediatric Care PC · Memphis, TN

Active · expires Jul 24, 2027

CLIA Number44D2150389

Laboratory TypePhysician Office

Certificate Effective DateJuly 25, 2025

Certificate Expiration DateJuly 24, 2027

Laboratory DirectorDr. Lori B. Holtzman

Laboratory Phone(901) 350-2639

Laboratory LocationCody's Center Of Hope, Dedicated Pediatric Care PC2565 Horizon Lake Drive, Memphis, TN 38133

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Cody's Center Of Hope, Dedicated Pediatric Care, PC's NPI number?

The NPI number for Cody's Center Of Hope, Dedicated Pediatric Care, PC is 1740778166. It was assigned to this organization in the NPPES registry on May 1, 2018.

Where is Cody's Center Of Hope, Dedicated Pediatric Care, PC located?

Cody's Center Of Hope, Dedicated Pediatric Care, PC is located at 2565 Horizon Lake Dr Ste 114, Memphis, TN 38133. The listed phone number is (901) 350-2639.

What is Cody's Center Of Hope, Dedicated Pediatric Care, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Cody's Center Of Hope, Dedicated Pediatric Care, PC enrolled in Medicare?

Yes. Cody's Center Of Hope, Dedicated Pediatric Care, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cody's Center Of Hope, Dedicated Pediatric Care, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Cody's Center Of Hope, Dedicated Pediatric Care, PC. 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 Cody's Center Of Hope, Dedicated Pediatric Care, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2150389) is associated with this NPI, valid through July 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cody's Center Of Hope, Dedicated Pediatric Care, PC 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 Cody's Center Of Hope, Dedicated Pediatric Care, PC 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 Cody's Center Of Hope, Dedicated Pediatric Care, PC was last updated on March 22, 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.