GOODLIFE MEDICAL CENTER, PLLC
NPI 1811041668
Internal Medicine in Memphis, TN

Active since January 22, 2007CLIA 44D1033179 · Waiver
756 RIDGE LAKE BLVD, SUITE 228, MEMPHIS, TN 38120(901) 685-1994(901) 685-1997 Get Directions Write a Review

NPPES record last updated: September 20, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Goodlife Medical Center, Pllc NPPES

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

GOODLIFE MEDICAL CENTER, PLLC (NPI 1811041668) is a healthcare organization registered as an internal medicine in Memphis, Tennessee and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Olugbenga Adebanjo, President, as its authorized official.

NPPES Registry Identity

NPI1811041668
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGOODLIFE MEDICAL CENTER, PLLC
Location Address756 RIDGE LAKE BLVD, SUITE 228Memphis, TN 38120-9420
Mailing AddressPo Box 172126Memphis, TN 38187-2126 · (901) 685-1994 · Fax (901) 685-1997
Fax(901) 685-1997
Organization SubpartNo
Authorized OfficialOlugbenga AdebanjoPresident · (901) 685-1994
Enumeration DateJanuary 22, 2007
Last NPPES UpdateSeptember 20, 2007
NPI 1811041668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TN · 37598
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

756 RIDGE LAKE BLVD, Memphis, TN 38120

Other Identifiers 3

Medicaid3726671TN
Medicare UPINH98630TN
Medicare ID-Type Unspecified3726671TN

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

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 44D1033179

Goodlife Medical Center PLLC · Memphis, TN
Active · expires Jun 6, 2027
CLIA Number44D1033179
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorDr. Olugbenga A. Adebanjo
Laboratory Phone(901) 685-1994
Laboratory LocationGoodlife Medical Center PLLC1719 Kirby Pkwy, Memphis, TN 38120
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Occupational Therapist
756 RIDGE LAKE BLVD, SUITE 205
MEMPHIS, TN 38120
Family Medicine
756 RIDGE LAKE BLVD, SUITE 120
MEMPHIS, TN 38120
Nurse Practitioner (Primary Care)
756 RIDGE LAKE BLVD, SUITE 228
MEMPHIS, TN 38120
Physical Therapist
756 RIDGE LAKE BLVD, SUITE 205
MEMPHIS, TN 38120
Physical Therapist
756 RIDGE LAKE BLVD, STE 205
MEMPHIS, TN 38120
Physical Therapist
756 RIDGE LAKE BLVD, #205
MEMPHIS, TN 38120
Clinic/Center (Physical Therapy)
756 RIDGE LAKE BLVD, SUITE 205
MEMPHIS, TN 38120
Internal Medicine
756 RIDGE LAKE BLVD, 228
MEMPHIS, TN 38120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811041668, enumerated as an "organization" on January 22, 2007.

The provider is located at 756 RIDGE LAKE BLVD SUITE 228 MEMPHIS, TN 38120 and the phone number is (901) 685-1994.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.