1. Home
  2. Directory
  3. Tennessee
  4. Memphis
  5. Nurse Practitioner
  6. NPI Profile

CARPENTER PRIMARY HEALTHCARE, PLLC
NPI 1770971533
Nurse Practitioner - Family in Memphis, TN

Active since January 02, 2015CLIA 44D2089371 · Waiver
1251 WESLEY DR, SUITE 104, MEMPHIS, TN 38116(901) 348-6426 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carpenter Primary Healthcare, Pllc NPPES

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

CARPENTER PRIMARY HEALTHCARE, PLLC (NPI 1770971533) is a healthcare organization registered as a family in Memphis, Tennessee and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through December 28, 2026 and lists Kenneth Andre Carpenter, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1770971533
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCARPENTER PRIMARY HEALTHCARE, PLLC
Location Address1251 WESLEY DR, SUITE 104Memphis, TN 38116-6442
Mailing Address1251 Wesley Dr Ste 104Memphis, TN 38116-6442 · (901) 348-6426 · Fax (901) 207-5178
Phone(901) 348-6426
Organization SubpartNo
Authorized OfficialKenneth Andre CarpenterChief Operating Officer · (901) 463-0105
Enumeration DateJanuary 2, 2015
Last NPPES UpdateAugust 22, 2023
NPPES CertifiedAugust 22, 2023
✔ NPI 1770971533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 6284
1251 WESLEY DR, Memphis, TN 38116
Open in Google Maps ↗

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

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 44D2089371

Carpenter Primary Healthcare, PLLC · Memphis, TN
Active · expires Dec 28, 2026
CLIA Number44D2089371
Laboratory TypePractitioner Other
Certificate Effective DateDecember 29, 2024
Certificate Expiration DateDecember 28, 2026
Laboratory DirectorTerrell Carpenter
Laboratory Phone(901) 348-6426
Laboratory LocationCarpenter Primary Healthcare, PLLC1251 Wesley Dr, Suite 104, Memphis, TN 38116
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

TRISTATE MEDICAL GROUP, PLLC
Internal Medicine
1251 WESLEY DR, SUITE 100
MEMPHIS, TN 38116
Shelby County (901) 692-0956
SOFIA KHANDEKAR MD PLLC
Internal Medicine
1251 WESLEY DR, SUITE 100
MEMPHIS, TN 38116
Shelby County (901) 396-3061
WEST CLINIC, P.C.
Internal Medicine (Hematology & Oncology)
1251 WESLEY DR, SUITE 107
MEMPHIS, TN 38116
Shelby County (901) 683-0055
CEYLON M ROWLAND MD
Obstetrics & Gynecology
1251 WESLEY DR, SUITE 100
MEMPHIS, TN 38116
Shelby County (901) 395-2630
KAZI A ZAMAN M.D.
Internal Medicine
1251 WESLEY DR, SUITE 100
MEMPHIS, TN 38116
Shelby County (901) 332-9632
DWIGHT ANTHONY DISHMON MD
Internal Medicine (Interventional Cardiology)
1251 WESLEY DR, SUITE 153
MEMPHIS, TN 38116
Shelby County (901) 763-0200
ALIM KHANDEKAR M. D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1251 WESLEY DR, SUITE 151
MEMPHIS, TN 38116
Shelby County (901) 758-7888
MEMPHIS HOSPITALISTS, PLLC
Internal Medicine
1251 WESLEY DR, SUITE 100
MEMPHIS, TN 38116
Shelby County (901) 332-9632

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 Carpenter Primary Healthcare, PLLC's NPI number?

The NPI number for Carpenter Primary Healthcare, PLLC is 1770971533. It was assigned to this organization in the NPPES registry on January 2, 2015.

Where is Carpenter Primary Healthcare, PLLC located?

Carpenter Primary Healthcare, PLLC is located at 1251 Wesley Dr Suite 104, Memphis, TN 38116. The listed phone number is (901) 348-6426.

What is Carpenter Primary Healthcare, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Carpenter Primary Healthcare, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2089371) is associated with this NPI, valid through December 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carpenter Primary Healthcare, PLLC was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.