Organization Active NPI

Memphis Cardiology PLC

  • Nuclear Cardiology Physician
  • Memphis, TN
National Provider Identifier
1144273558
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Cardiology PhysicianTaxonomy code 207UN0901X
Legal business name
MEMPHIS CARDIOLOGY PLC
Practice address
6005 Park Ave
Suite 225 B
Memphis, TN 38119-5202
Phone
(901) 767-6765
Fax
(901) 767-9639
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Krista Osborn, BILLING MANAGER
Title
Billing Manager
Phone
(901) 382-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207UN0901X Primary

Addresses

Primary practice location

6005 Park Ave
Suite 225 B
Memphis, TN 38119-5202

Mailing address

PO Box 2153 Dept 51051
Birmingham, AL 35287-9306
Phone (901) 382-1200

Other identifiers 3

IdentifierTypeStateIssuer
3725618MedicaidTN
154522002MedicaidAR
04787095MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040809000126 TN Part B Supplier - Clinic/Group Practice 3173595485 Receives reassigned benefits from 2 practitioners
Practice locations: Memphis, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1068484Memphis Cardiology6005 Park Avenue #225-B, Memphis, TN 38119Certificate of waiverMay 13, 2027

National Provider Directory

National Provider Directory

Locations

5220 Park Ave
Ste 210
Memphis, TN 38119
Phone (901) 767-6765

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1144273558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2153 DEPT 51051",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352879306",
            "telephone_number": "901-382-1200",
            "fax_number": "901-382-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 225 B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-767-6765",
            "fax_number": "901-767-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS CARDIOLOGY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "901-382-1200",
        "authorized_official_credential": "BILLING MANAGER"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3725618",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154522002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04787095",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.