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COLLIERVILLE FAMILY HEALTH PLLC
NPI 1891069563
Family Medicine in Collierville, TN

Active since February 28, 2012CLIA 44D2037404 · Waiver
2028 W POPLAR AVE, SUITE 115, COLLIERVILLE, TN 38017(901) 221-8983(901) 221-8985 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Collierville Family Health Pllc NPPES

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

COLLIERVILLE FAMILY HEALTH PLLC (NPI 1891069563) is a healthcare organization registered as a family medicine in Collierville, Tennessee and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through March 17, 2027 and lists Shoaib Qureshi, Owner/ Sole Member, as its authorized official.

NPPES Registry Identity

NPI1891069563
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOLLIERVILLE FAMILY HEALTH PLLC
Location Address2028 W POPLAR AVE, SUITE 115Collierville, TN 38017-0618
Mailing Address2028 W Poplar Ave, Suite 115Collierville, TN 38017-0618 · (901) 221-8983 · Fax (901) 221-8985
Phone(901) 221-8983
Fax(901) 221-8985
Organization SubpartNo
Authorized OfficialShoaib QureshiOwner/ Sole Member · (901) 221-8983
Enumeration DateFebruary 28, 2012
Last NPPES UpdateJuly 26, 2024
NPPES CertifiedJuly 26, 2024
✔ NPI 1891069563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2028 W POPLAR AVE, Collierville, TN 38017
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Collierville Family Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Collierville Family Health PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Felicia Gray-Hamilton, DNP, FNP-C
Nurse Practitioner
NPI 1164257481
2028 W POPLAR AVE STE 115
Collierville, TN 38017
(901) 221-8983
✔ PECOS✔ Accepts MedicareSame address
Shoaib Qureshi, M.D
Family Practice
NPI 1417056250
7865 EDUCATORS LANE, SUITE 300
Memphis, TN 38133
(901) 384-9920
✔ PECOS✔ Accepts Medicare11 mi

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 Waiver 44D2037404

Collierville Family Health · Collierville, TN
Active · expires Mar 17, 2027
CLIA Number44D2037404
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2025
Certificate Expiration DateMarch 17, 2027
Laboratory DirectorDr. Shoaib Qureshi
Laboratory Phone(901) 221-8983
Laboratory LocationCollierville Family Health2028 W Poplar Ave Ste 115, Collierville, TN 38017
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Collierville Family Health PLLC's NPI number?

The NPI number for Collierville Family Health PLLC is 1891069563. It was assigned to this organization in the NPPES registry on February 28, 2012.

Where is Collierville Family Health PLLC located?

Collierville Family Health PLLC is located at 2028 W Poplar Ave Suite 115, Collierville, TN 38017. The listed phone number is (901) 221-8983.

What is Collierville Family Health PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Collierville Family Health PLLC enrolled in Medicare?

Yes. Collierville Family Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Collierville Family Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Collierville Family Health PLLC, in Family Practice and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Collierville Family Health PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2037404) is associated with this NPI, valid through March 17, 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 Collierville Family Health PLLC was last updated on July 26, 2024. 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.