SHELBY COUNTY HEALTH CARE CORPORATION
NPI 1780685750
Pathology - Anatomic Pathology & Clinical Pathology in Memphis, TN

Active since August 02, 2005CLIA 44D1020036 · Accreditation
877 JEFFERSON AVE, MEMPHIS, TN 38103(901) 545-8336(901) 545-8122 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 20, 2021, Mar 4, 2021, Oct 1, 2020 and 1 more (4 updates tracked since 2017).

About Shelby County Health Care Corporation NPPES

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

SHELBY COUNTY HEALTH CARE CORPORATION (NPI 1780685750) is a healthcare organization registered as an anatomic pathology & clinical pathology in Memphis, Tennessee and active in the NPI registry since August 2005. The organization holds an CLIA Accreditation certificate valid through December 8, 2026, maintains a secondary practice location in Memphis, and lists James Proctor, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1780685750
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameSHELBY COUNTY HEALTH CARE CORPORATION
Location Address877 JEFFERSON AVEMemphis, TN 38103-2807
Mailing Address877 Jefferson Ave, Attn: Provider EnrollmentMemphis, TN 38103-2807 · (901) 545-6286 · Fax (901) 545-8122
Fax(901) 545-8122
Organization SubpartNo
Authorized OfficialJames ProctorChief Financial Officer · (901) 545-8254
Enumeration DateAugust 2, 2005
Last NPPES UpdateAugust 20, 20254 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
✔ NPI 1780685750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
877 JEFFERSON AVE, Memphis, TN 38103

Secondary Practice Location 1

Location 11588 Union AveMemphis, TN 38104-3729 · Phone (901) 623-0055 · Fax (901) 685-9718

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby County Health Care Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

59

Medicare enrollment records show 59 clinicians reassign Medicare billing to Shelby County Health Care Corporation, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Pathology22
Nurse Practitioner16
Hematology/Oncology5
Medical Oncology5
Diagnostic Radiology4
Gynecological Oncology4
Internal Medicine1
Interventional Radiology1
1 other specialty1

Nearest to this location (20)

See all 59
Pathology
NPI 1417378845
877 JEFFERSON AVE
Memphis, TN 38103
(901) 545-7513
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1730318718
877 JEFFERSON AVE
Memphis, TN 38103
(901) 545-7100
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1205918182
848 ADAMS AVE
Memphis, TN 38103
(901) 287-5437
✔ PECOS✔ Accepts Medicare0.1 mi
Pathology
NPI 1629106281
50 N DUNLAP ST STE R264
Memphis, TN 38103
(901) 287-6213
✔ PECOS✔ Accepts Medicare0.1 mi
Pathology
NPI 1992949309
930 MADISON AVE STE 500
Memphis, TN 38103
(901) 448-8013
✔ PECOS✔ Accepts Medicare0.2 mi
Pathology
NPI 1205279270
930 MADISON AVE STE 500
Memphis, TN 38103
(901) 448-7020
✔ PECOS✔ Accepts Medicare0.2 mi
Pathology
NPI 1518130996
930 MADISON AVE STE 500
Memphis, TN 38103
(901) 448-8013
✔ PECOS✔ Accepts Medicare0.2 mi
Pathology
NPI 1124002175
930 MADISON AVE SUITE 890
Memphis, TN 38103
(901) 866-8834
✔ PECOS0.2 mi
Pathology
NPI 1215292594
1265 UNION AVE
Memphis, TN 38104
(901) 516-7182
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1255855540
1588 UNION AVE
Memphis, TN 38104
(901) 300-1562
✔ PECOS✔ Accepts Medicare1.4 mi
Hematology/Oncology
NPI 1326070277
1588 UNION AVE
Memphis, TN 38104
(901) 683-0055
✔ PECOS✔ Accepts Medicare1.4 mi
Pathology
NPI 1306847918
OF PATHOLOGY AND LABORATORY MEDICINE 930 MADISON AVENUE, RM 518
Memphis, TN 38163
(901) 448-6300
✔ PECOS✔ Accepts Medicare3.0 mi
Nurse Practitioner
NPI 1003381229
3109 WALNUT GROVE RD
Memphis, TN 38111
(901) 515-4800
✔ PECOS✔ Accepts Medicare4.2 mi
Nurse Practitioner
NPI 1467896886
924 STATE HIGHWAY 77
Marion, AR 72364
(870) 739-8670
✔ PECOS✔ Accepts Medicare9.0 mi
Pathology
NPI 1538388012
6019 WALNUT GROVE RD
Memphis, TN 38120
(901) 227-5135
✔ PECOS✔ Accepts Medicare9.6 mi
Pathology
NPI 1053725564
6019 WALNUT GROVE RD
Memphis, TN 38120
(901) 227-5135
✔ PECOS✔ Accepts Medicare9.6 mi
Nurse Practitioner
NPI 1821307349
7668 AIRWAYS BLVD
Southaven, MS 38671
(901) 683-0055
✔ PECOS✔ Accepts Medicare12 mi
Pathology
NPI 1669890935
7550 WOLF RIVER BLVD STE 200
Germantown, TN 38138
(901) 542-6838
✔ PECOS✔ Accepts Medicare13 mi
Neuroradiology
NPI 1134474711
7945 WOLF RIVER BLVD
Germantown, TN 38138
(901) 683-0055
✔ PECOS✔ Accepts Medicare13 mi
Diagnostic Radiology
NPI 1841229218
7945 WOLF RIVER BLVD
Germantown, TN 38138
(901) 683-0055
✔ PECOS✔ Accepts Medicare13 mi
See all 59 clinicians

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 Accreditation 44D1020036

Shelby County Health Care Corporation Dba Regional One Health · Memphis, TN
Active · expires Dec 8, 2026
CLIA Number44D1020036
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2024
Certificate Expiration DateDecember 8, 2026
Laboratory DirectorDr. Jarvis D. Reed
Laboratory Phone(901) 683-0055
Laboratory LocationShelby County Health Care Corporation Dba Regional One Health1588 Union Avenue, Memphis, TN 38104
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Shelby County Health Care Corporation's NPI number?

The NPI number for Shelby County Health Care Corporation is 1780685750. It was assigned to this organization in the NPPES registry on August 2, 2005.

Where is Shelby County Health Care Corporation located?

Shelby County Health Care Corporation is located at 877 Jefferson Ave, Memphis, TN 38103. The listed phone number is (901) 545-8336.

What is Shelby County Health Care Corporation's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Shelby County Health Care Corporation enrolled in Medicare?

Yes. Shelby County Health Care Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shelby County Health Care Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 59 clinicians in 9 Medicare specialties reassign their Medicare billing to Shelby County Health Care Corporation. 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. The largest specialties are Pathology (22), Nurse Practitioner (16) and Hematology/Oncology (5). Of these, 2 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Shelby County Health Care Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 44D1020036) is associated with this NPI, valid through December 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shelby County Health Care Corporation accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Shelby County Health Care Corporation 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 Shelby County Health Care Corporation was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.