Organization Active NPI

Mid-South Maternal Fetal Medicine PC

  • Maternal & Fetal Medicine Physician
  • Memphis, TN
National Provider Identifier
1184662579
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
MID-SOUTH MATERNAL FETAL MEDICINE PC
Practice address
6266 Poplar Ave
Memphis, TN 38119-4713
Phone
(901) 682-2595
Fax
(901) 682-2549
NPI assigned
Jun 4, 2006
Last updated
Jun 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Carol Brinley
Title
Credentialing Specialist
Phone
(901) 255-5221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X Primary

Addresses

Primary practice location

6266 Poplar Ave
Memphis, TN 38119-4713

Mailing address

6266 Poplar Ave
Memphis, TN 38119-4713
Phone (901) 682-2595

Other identifiers 4

IdentifierTypeStateIssuer
3720439MedicaidTN
07470206MedicaidMS
8P412OtherARBCBS AR
155822002MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050119000463 TN Part B Supplier - Clinic/Group Practice 0244289015 Receives reassigned benefits from 4 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
44D1017052Mid-South Maternal Fetal Medicine PC6266 Poplar Avenue, Memphis, TN 38119Certificate of waiverSep 15, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1184662579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6266 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194713",
            "telephone_number": "901-682-2595",
            "fax_number": "901-682-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6266 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194713",
            "telephone_number": "901-682-2595",
            "fax_number": "901-682-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH MATERNAL FETAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "BRINLEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "901-255-5221"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3720439",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07470206",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AR",
            "identifier": "8P412",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155822002",
            "state": "AR"
        }
    ],
    "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 30, 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.