CORDOVA MEDICAL & COSMEDIC SOLUTIONS, PC
NPI 1831229475
Clinic/Center - Primary Care in Cordova, TN

Q: What is Cordova Medical & Cosmedic Solutions, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since March 06, 2007CLIA 44D0315221 · Microscopy

1025 CORDOVA STATION AVE, CORDOVA, TN 38018(901) 507-4400(901) 756-5836 Get Directions Write a Review

NPPES record last updated: January 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Cordova Medical & Cosmedic Solutions, Pc NPPES

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

CORDOVA MEDICAL & COSMEDIC SOLUTIONS, PC (NPI 1831229475), doing business as Germantown Family Practice, Pc, is a healthcare organization registered as a primary care in Cordova, Tennessee and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through March 15, 2027 and lists Marc J. Crupie, President, as its authorized official.

NPPES Registry Identity

NPI1831229475

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameCORDOVA MEDICAL & COSMEDIC SOLUTIONS, PC

Location Address1025 CORDOVA STATION AVECordova, TN 38018-6318

Mailing AddressPo Box 4438Cordova, TN 38088-4438 · (901) 507-4400 · Fax (901) 756-5836

Phone(901) 507-4400

Fax(901) 756-5836

Organization SubpartNo

Authorized OfficialMarc J. CrupiePresident · (901) 507-4400

Enumeration DateMarch 6, 2007

Last NPPES UpdateJanuary 15, 2008

✔ NPI 1831229475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in TN · MD15815

1025 CORDOVA STATION AVE, Cordova, TN 38018

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Other Names 1

Former Legal Business NameGermantown Family Practice, Pc

Other Identifiers 3

Medicare ID-Type Unspecified3829438TN

Medicare UPINA98067TN

Other3144579TN · Blue Cross Blue Shield

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 for Provider-Performed Microscopy Procedures (PPMP) 44D0315221

Cordova Medical & Cosmedic Solutions · Cordova, TN

Active · expires Mar 15, 2027

CLIA Number44D0315221

Laboratory TypePhysician Office

Certificate Effective DateMarch 16, 2025

Certificate Expiration DateMarch 15, 2027

Laboratory DirectorMarc J. Crupie MD

Laboratory Phone(901) 507-4400

Laboratory LocationCordova Medical & Cosmedic Solutions1025 Cordova Station, Cordova, TN 38018

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

DR. MARC J. CRUPIE M.D.

Family Medicine

1025 CORDOVA STATION AVE
CORDOVA, TN 38018

Shelby County (901) 507-4400

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 Cordova Medical & Cosmedic Solutions, PC's NPI number?

The NPI number for Cordova Medical & Cosmedic Solutions, PC is 1831229475. It was assigned to this organization in the NPPES registry on March 6, 2007. The provider was formerly known as Germantown Family Practice, PC.

Where is Cordova Medical & Cosmedic Solutions, PC located?

Cordova Medical & Cosmedic Solutions, PC is located at 1025 Cordova Station Ave, Cordova, TN 38018. The listed phone number is (901) 507-4400.

What is Cordova Medical & Cosmedic Solutions, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Cordova Medical & Cosmedic Solutions, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D0315221) is associated with this NPI, valid through March 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cordova Medical & Cosmedic Solutions, PC was last updated on January 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.