DEDICATED SENIOR MEDICAL CENTER GRACELAND
NPI 1891328993
Non-Pharmacy Dispensing Site in Memphis, TN

Q: What is Dedicated Physicians Group Of Tennessee, PLLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since February 17, 2020CLIA 44D2188078 · Waiver

1056 E RAINES RD, MEMPHIS, TN 38116(901) 300-5777 Get Directions Write a Review

NPPES record last updated: December 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 24, 2020, May 13, 2020, Feb 17, 2020 (3 updates tracked since 2020).

On this page

About Dedicated Senior Medical Center Graceland NPPES

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

DEDICATED SENIOR MEDICAL CENTER GRACELAND (NPI 1891328993) is a healthcare organization registered as a non-pharmacy dispensing site in Memphis, Tennessee and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through July 12, 2028 and lists Mary Chen, Exec. Officer, as its authorized official.

NPPES Registry Identity

NPI1891328993

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameDEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC

Location Address1056 E RAINES RDMemphis, TN 38116-6337

Mailing Address1395 Nw 167th StMiami, FL 33169-5710 · (305) 628-6117

Phone(901) 300-5777

Organization SubpartYes

Authorized OfficialMary ChenExec. Officer · (305) 628-6117

Enumeration DateFebruary 17, 2020

Last NPPES UpdateDecember 24, 20203 updates tracked since enumeration

NPPES CertifiedDecember 24, 2020

✔ NPI 1891328993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

1056 E RAINES RD, Memphis, TN 38116

Open in Google Maps ↗

Other Names 1

Doing Business AsDedicated Senior Medical Center Graceland

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete 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 44D2188078

Dedicated Senior Medical Center - Graceland · Memphis, TN

Active · expires Jul 12, 2028

CLIA Number44D2188078

Laboratory TypePhysician Office

Certificate Effective DateJuly 13, 2026

Certificate Expiration DateJuly 12, 2028

Laboratory DirectorDr. Gordon Chen

Laboratory Phone(305) 842-3910

Laboratory LocationDedicated Senior Medical Center - Graceland1056 East Raines Road, Memphis, TN 38116

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MR. DAVID WAYNE DUNN D.PH

Pharmacist