Memphis Orthopaedic Medical Supplies, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MEMPHIS ORTHOPAEDIC MEDICAL SUPPLIES, LLC

Doing business as

Metro Orthotics

Practice address

701 East Reelfoot Avenue
Suite 500
Union City, TN 38261

Phone

(901) 884-0284

Fax

(901) 884-0281

NPI assigned

Sep 7, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Guy Fred Wallace, C.O.

Title

President

Phone

(901) 755-4344

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Metro Orthotics Doing business as

Locations

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1215030796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 KIRBY PARKWAY",
            "address_2": "SUITE 105",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198241",
            "telephone_number": "901-755-4344",
            "fax_number": "901-755-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 EAST REELFOOT AVENUE",
            "address_2": "SUITE 500",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "38261",
            "telephone_number": "901-884-0284",
            "fax_number": "901-884-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS ORTHOPAEDIC MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-755-4344",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452529",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Martin, APRN-BC
• Marvin Asbury Blanton III MD PC
• Clay Michael Marvin, FNP
• Sandra E McGrath, NP
• Cathy Hill McKinney, APN
• Sere Catherine Merriman, PA
• Michael L Bobo, DDS, MD, PSC
• Emily C Miller, ANP BC
• James Charles Miller, PTA
• Johnny R Miller, DMD

• Prosthetic/Orthotic Supplier in Union City, TN
• Providers in Union City, TN by specialty
• Prosthetic/Orthotic Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.