Collierville Medical Specialists

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COLLIERVILLE MEDICAL SPECIALISTS

Practice address

526 Halle Park Drive
Collierville, TN 38017-7085

Phone

(901) 854-1877

Fax

(901) 854-6181

NPI assigned

Sep 14, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Raymond Clarence Jeffers, MD

Title

Chairman of the Board

Phone

(901) 854-1877

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1053416776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 HALLE PARK DRIVE",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380177085",
            "telephone_number": "901-854-1877",
            "fax_number": "901-854-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 HALLE PARK DRIVE",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380177085",
            "telephone_number": "901-854-1877",
            "fax_number": "901-854-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIERVILLE MEDICAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JEFFERS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "CLARENCE",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "901-854-1877",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Collierville Nursing and Rehabilitation LLC (Collierville Nursing and Rehabilitation)
• Collierville Orthopedics and
• Collierville Pediatrics, LLC
• Collierville Vision Center PLLC
• Comfort Care Transit Solutions LLC

• Internal Medicine Physician in Collierville, TN
• Providers in Collierville, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.