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AMY BONK-CHANIN, MSPAC
NPI 1972920452
Clinic/Center - Primary Care in Memphis, TN

Active since March 24, 2014CLIA 44D0981759 · Waiver
5575 POPLAR AVE STE 504, MEMPHIS, TN 38119(901) 761-1850 Get Directions Write a Review

NPPES record last updated: March 24, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amy Bonk-chanin, Mspac NPPES

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

AMY BONK-CHANIN, MSPAC (NPI 1972920452) is a healthcare organization registered as a primary care in Memphis, Tennessee and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Amy Bonk-chanin, President, as its authorized official.

NPPES Registry Identity

NPI1972920452
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBONK INTERNAL MEDICINE,INC.
Location Address5575 POPLAR AVE STE 504Memphis, TN 38119-0821
Mailing Address5575 Poplar Ave Ste 504Memphis, TN 38119-0821 · (901) 761-1850
Phone(901) 761-1850
Organization SubpartNo
Authorized OfficialAmy Bonk-chaninPresident · (901) 761-1850
Enumeration DateMarch 24, 2014
✔ NPI 1972920452 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 · 277
5575 POPLAR AVE STE 504, Memphis, TN 38119
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Other Names 1

Doing Business AsAmy Bonk-chanin, Mspac

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 44D0981759

Bonk Internal Medicine Inc Amy Bonk Chanin Mspac · Memphis, TN
Active · expires Jan 3, 2027
CLIA Number44D0981759
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorAmy Bonk Chanin
Laboratory Phone(901) 761-1850
Laboratory LocationBonk Internal Medicine Inc Amy Bonk Chanin Mspac5565 Murray Ave Suite 200, Memphis, TN 38119
CLIA data matches this NPI record on: 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 Bonk Internal Medicine,inc.'s NPI number?

The NPI number for Bonk Internal Medicine,inc. is 1972920452. It was assigned to this organization in the NPPES registry on March 24, 2014. The provider is doing business as Amy Bonk-Chanin, Mspac.

Where is Bonk Internal Medicine,inc. located?

Bonk Internal Medicine,inc. is located at 5575 Poplar Ave Ste 504, Memphis, TN 38119. The listed phone number is (901) 761-1850.

What is Bonk Internal Medicine,inc.'s specialty?

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

Does Bonk Internal Medicine,inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0981759) is associated with this NPI, valid through January 3, 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 Bonk Internal Medicine,inc. was last updated on March 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.