Active NPI
Mid-South Maternal Fetal Medicine PC
- Maternal & Fetal Medicine Physician
- Memphis, TN
National Provider Identifier
1184662579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- 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, 2026
- 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
- Carol Brinley
- Title
- Credentialing Specialist
- Phone
- (901) 255-5221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3720439 | Medicaid | TN | |
| 07470206 | Medicaid | MS | |
| 8P412 | Other | AR | BCBS AR |
| 155822002 | Medicaid | AR |
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 |
|---|---|---|---|
| 44D1017052 | Mid-South Maternal Fetal Medicine PC | Certificate of waiver | Sep 15, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Maternal & Fetal Medicine Physician
- Memphis, TN
- NPI 1871505438
-
- Maternal & Fetal Medicine Physician
- Memphis, TN
- NPI 1801360516
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1992999791
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
- Mid-South Health Services, LLC (Ashton Place Health & Rehab Center)
- Mid-South Healthnet
- Mid-South Home Health Services, LLC (BrightStar Care of Memphis)
- Mid-South Home Health, LLC (Acti-Kare Responsive In-Home Care)
- Mid-South Infectious Disease Associates, PLLC
- Mid-South Medical Professionals, P.a.
- Mid-South Nemt Services
- Mid-South Nephrology Consultants PLLC
- Mid-South OB-GYN PLLC
- Mid-South Pulmonary Specialists PC
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.