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MIDSOUTH INDEPENDENT GROUP, PLLC
NPI 1861009326
Internal Medicine in Memphis, TN

Active since September 29, 2020CLIA 44D2214905 · Waiver
6401 POPLAR AVE STE 604, MEMPHIS, TN 38119(901) 474-2402(901) 328-5746 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2023, Apr 3, 2023, Mar 27, 2023 and 3 more (6 updates tracked since 2020).

About Midsouth Independent Group, Pllc NPPES

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

MIDSOUTH INDEPENDENT GROUP, PLLC (NPI 1861009326) is a healthcare organization registered as an internal medicine in Memphis, Tennessee and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through February 24, 2027, maintains 9 additional practice locations, and lists William R Breen, Group Manager, as its authorized official.

NPPES Registry Identity

NPI1861009326
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMIDSOUTH INDEPENDENT GROUP, PLLC
Location Address6401 POPLAR AVE STE 604Memphis, TN 38119-4808
Mailing Address6401 Poplar Ave Ste 604Memphis, TN 38119-4808 · (901) 474-2402 · Fax (901) 249-4070
Phone(901) 474-2402
Fax(901) 328-5746
Organization SubpartNo
Authorized OfficialWilliam R BreenGroup Manager · (901) 832-4494
Enumeration DateSeptember 29, 2020
Last NPPES UpdateNovember 29, 20236 updates tracked since enumeration
NPPES CertifiedNovember 29, 2023
✔ NPI 1861009326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
6401 POPLAR AVE STE 604, Memphis, TN 38119
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Secondary Practice Locations 9

Location 1740 Bartlett RdMemphis, TN 38122-3004 · Phone (901) 685-8202 · Fax (901) 682-3525
Location 2491A Craft StHolly Springs, MS 38635-3251 · Phone (662) 252-6416 · Fax (662) 252-3355
Location 3164 Mount Pelia RdMartin, TN 38237-3812 · Phone (731) 587-5900 · Fax (731) 587-5908
Location 46401 Poplar Ave Ste 600Memphis, TN 38119-4808 · Phone (901) 525-3086
Location 5728 W Sherrod AveCovington, TN 38019-3024 · Phone (901) 476-7779
Location 62245 S Lauderdale StMemphis, TN 38106-7517 · Phone (901) 948-5558
Location 71785 Nonconnah Blvd Ste 120Memphis, TN 38132-2112 · Phone (901) 345-6700
Location 8943 Whitney AveMemphis, TN 38127-7734 · Phone (901) 358-0326 · Fax (901) 358-9010
Location 92018 McIngvale Rd Ste 102Hernando, MS 38632-8706 · Phone (662) 354-5667

Other Identifiers 1

MedicaidQ061176TN

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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 44D2214905

Midsouth Independent Group PLLC · Memphis, TN
Active · expires Feb 24, 2027
CLIA Number44D2214905
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2025
Certificate Expiration DateFebruary 24, 2027
Laboratory DirectorTerrye T. Mastin
Laboratory Phone(901) 685-8202
Laboratory LocationMidsouth Independent Group PLLC6401 Poplar Avenue, Suite 370, Memphis, TN 38119
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 3

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

AM DIABETES CENTERS OF AMERICA PLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6401 POPLAR AVE STE 604
MEMPHIS, TN 38119
Shelby County (901) 753-3322
HONEYCOMB MEDICAL GROUP PLC
Internal Medicine
6401 POPLAR AVE STE 604
MEMPHIS, TN 38119
Shelby County (901) 753-3322
VIP WOUND PLLC
Internal Medicine
6401 POPLAR AVE STE 604
MEMPHIS, TN 38119
Shelby County (901) 403-5540

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 Midsouth Independent Group, PLLC's NPI number?

The NPI number for Midsouth Independent Group, PLLC is 1861009326. It was assigned to this organization in the NPPES registry on September 29, 2020.

Where is Midsouth Independent Group, PLLC located?

Midsouth Independent Group, PLLC is located at 6401 Poplar Ave Ste 604, Memphis, TN 38119. The listed phone number is (901) 474-2402.

What is Midsouth Independent Group, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Midsouth Independent Group, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2214905) is associated with this NPI, valid through February 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Midsouth Independent Group, PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Midsouth Independent Group, PLLC 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 Midsouth Independent Group, PLLC was last updated on November 29, 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.