SHELBY COUNTY PHYSICIANS, PLLC
NPI 1871051474
Family Medicine - Geriatric Medicine in Memphis, TN

NPI Status: Active since March 04, 2019

Contact Information

6500 KIRBY GATE BLVD
MEMPHIS, TN
ZIP 38119
Phone: (901) 752-0772

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  • Organization
  • Family Medicine
  • Geriatric Medicine
  • CLIA Number: 44D2048177
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-28-2026

About SHELBY COUNTY PHYSICIANS, PLLC

This page provides the complete NPI Profile along with additional information for Shelby County Physicians, Pllc, a primary care provider established in Memphis, Tennessee operating as a Family Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1871051474 assigned on March 2019. The practitioner's primary taxonomy code is 207QG0300X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Shelby County Physicians, Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Lisa Rose Hale (Director Of Credentialing)

NPI
1871051474
Provider Name
SHELBY COUNTY PHYSICIANS, PLLC
Entity Type
Organization
Location Address
6500 KIRBY GATE BLVD MEMPHIS, TN 38119
Location Phone
(901) 752-0772
Mailing Address
5665 NEW NORTHSIDE DR STE 320 ATLANTA, GA 30328
Mailing Phone
(770) 874-5400
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-04-2019
Last Update Date
03-04-2019
Code Navigator

A primary care provider (PCP) like Shelby County Physicians, Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Geriatric Medicine

Taxonomy Code
207QG0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RG0300XAllopathic & Osteopathic Physicians

Internal Medicine
Geriatric Medicine

 
2208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. LISA ROSE HALE

Authorized Official Title
DIRECTOR OF CREDENTIALING
Authorized Official Phone
(770) 874-5439

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2048177
Facility Type
Physician Office
Certificate Effective Date
March 01, 2024
Certificate Expiration Date
February 28, 2026
Laboratory Director
DR. ROBERT W. WAKE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Shelby County Physicians, Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1871051474, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 0 → 0 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 4 + 1 + 0 + 5 + 2 + 4 + 1 + 4 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1871051474.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
6500 KIRBY GATE BLVD
MEMPHIS, TN 38119
Skilled Nursing Facility
6500 KIRBY GATE BLVD
MEMPHIS, TN 38119
Speech-Language Pathologist
6500 KIRBY GATE BLVD
MEMPHIS, TN 38119
Occupational Therapy Assistant
6500 KIRBY GATE BLVD
MEMPHIS, TN 38119
Physical Therapy Assistant
6500 KIRBY GATE BLVD
MEMPHIS, TN 38119
Occupational Therapist
6500 KIRBY GATE BLVD
MEMPHIS, TN 38119
Physical Therapy Assistant
6500 KIRBY GATE BLVD
MEMPHIS, TN 38119
Physical Therapy Assistant
6500 KIRBY GATE BLVD
MEMPHIS, TN 38119
Occupational Therapy Assistant
6500 KIRBY GATE BLVD
MEMPHIS, TN 38119
Nurse Practitioner (Family)
6500 KIRBY GATE BLVD
MEMPHIS, TN 38119

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871051474, enumerated as an "organization" on March 04, 2019.

The provider is located at 6500 KIRBY GATE BLVD MEMPHIS, TN 38119 and the phone number is (901) 752-0772.

Family Medicine with taxonomy code 207QG0300X and a focus in Geriatric Medicine.