Active NPI
Memphis Cardiology PLC
- Nuclear Cardiology Physician
- Memphis, TN
National Provider Identifier
1144273558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Cardiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Cardiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3725618 | Medicaid | TN | |
| 154522002 | Medicaid | AR | |
| 04787095 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D1068484 | Memphis Cardiology | Certificate of waiver | May 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Cardiovascular Disease Physician
- Memphis, TN
- NPI 1841267846
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1538758628
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
- Memphis Area Perfusion (Map)
- Memphis at Home With Care L.L.C
- Memphis Business Academy High
- Memphis Business Academy Middle
- Memphis Cardiac Care Center, PLLC
- Memphis Cardiovascular Center
- Memphis Center for Independent Living
- Memphis Center for Mindful Living, LLC
- Memphis Center for Reproductive Health
- Memphis Center for Reproductive Health
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.