NPIMap

Organization Active NPI

Memphis Internal Medicine and Pediatrics

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1184636771
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEMPHIS INTERNAL MEDICINE AND PEDIATRICS
Practice address
1325 Eastmoreland Ave
#585
Memphis, TN 38104-3519
Phone
(901) 276-0249
Fax
(901) 276-0996
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Allison Stiles, M.D.NPI 1013904895
Title
Physician Owner
Phone
(901) 276-0249

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

1325 Eastmoreland Ave
#585
Memphis, TN 38104-3519

Mailing address

PO Box 40947
Memphis, TN 38174-0947
Phone (901) 255-5220

Other identifiers 3

IdentifierTypeStateIssuer
3731080MedicaidTN
DD9385OtherRAILROAD MEDICARE
01271360MedicaidMS

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
44D1041582Memphis Internal Medicine1325 Eastmoreland Suite #585, Memphis, TN 38104Provider-performed microscopyJun 6, 2027

National Provider Directory

National Provider Directory

Locations

1325 Eastmoreland Ave
Ste 585
Memphis, TN 38104
Phone (901) 276-0249

Practitioners & affiliated clinicians

Practitioners 5

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": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1184636771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40947",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381740947",
            "telephone_number": "901-255-5220",
            "fax_number": "901-255-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 EASTMORELAND AVE",
            "address_2": "#585",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043519",
            "telephone_number": "901-276-0249",
            "fax_number": "901-276-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS INTERNAL MEDICINE AND PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "STILES",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "901-276-0249",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3731080",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD9385",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01271360",
            "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 Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.