Mid-South Cardiovascular Center, LLC
Organization Active NPI Cardiovascular Disease Physician · Memphis, TN
NPI 1124171590 · NPPES record last updated May 20, 2025
Key facts
- NPI
- 1124171590
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 35778 (TN)
- Legal business name
- MID-SOUTH CARDIOVASCULAR CENTER, LLC
- Practice address
- 4066 Summer Ave
Memphis, TN 38122-5262 - Phone
- (901) 725-2222
- Fax
- (901) 725-1133
- NPI assigned
- Jan 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Someswara Reddy Karri, MD
- Title
- President
- Phone
- (901) 725-2222
Practitioners 24
-
Someswara Reddy Karri, M.D.
-
Anum Abbas, PA
-
Farhan Aslam, MD
-
Courtney Berger, PA-C
-
Lacie Whitten Crawford, PA-C
-
Marc Del Rosario, MD
-
Heather Delay, APRN, FNP-C
-
Ashley Dowdy, PA-C
-
Holly Parks Fuller, APN
-
Isabelle Link Hatfield, PA-C
-
Shahid I Khan, MD
-
Erin Empting Ortiz, N.P.
-
Gabrielle Mays Victor, FNP-C
-
Melanie Jo Hill, MSN, APRN, FNP-BC
-
Audrey Elise Lands, PA-C
-
Ahmed Rashed, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081218000712 | TN | Part B Supplier - Clinic/Group Practice | 8729020292 |
Receives reassigned benefits from 1 practitioner Practice locations: Memphis, TN |
| O20150611002968 | AR | Part B Supplier - Clinic/Group Practice | 8729020292 |
Receives reassigned benefits from 1 practitioner Practice locations: Blytheville, AR; Helena, AR |
National Provider Directory
Locations
1211 Union Ave
Ste 495
Memphis, TN 38104
Phone (901) 507-5835
1211 Union Ave
Ste 150
Memphis, TN 38104
Phone (901) 725-2222
4066 Summer Ave
Memphis, TN 38122
Phone (901) 452-7391
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | 35778 | TN | Yes |
Addresses
Primary practice location
4066 Summer Ave
Memphis, TN 38122-5262
Mailing address
PO Box 382668
Germantown, TN 38183-2668
Phone (901) 725-2222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20573241 | Medicaid | MO | |
| 99220 | Medicaid | AR | |
| 3869275 | Medicaid | TN | |
| 00125364 | Medicaid | MS |
Other providers in Memphis, TN
- Mid South Senior Care, LLC
- Mid South Supportive Living, LLC
- Mid South Vascular Clinic
- Mid-South ABA Therapy
- Mid-South Area Residential Services
- Mid-South Education and Behavior Solutions, LLC
- Mid-South Foot and Ankle Specialists, PLLC
- Mid-South Foot and Ankle Specialists, PLLC
- Mid-South Gastroenterology Group, Inc.
- Mid-South Geriatrics & Palliative Care PLLC
All providers in Memphis, TN · Cardiovascular Disease Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.