Individual provider Active NPI

Clifton McRae Allred, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1265030175
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
905626 Issued in MS
Practice address
6005 Park Ave Ste 630B
Memphis, TN 38119-5226
Phone
(901) 767-1136
NPI assigned
Oct 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 905626 MS Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 29014 TN
Psychiatric/Mental Health Registered Nurse 163WP0808X 226420 TN

Addresses

Primary practice location

6005 Park Ave Ste 630B
Memphis, TN 38119-5226

Mailing address

6005 Park Ave Ste 630B
Memphis, TN 38119-5226
Phone (901) 767-1136

Other practice location 1

9035 E Sandidge Rd Ste 201
Olive Branch, MS 38654-3563
Phone (662) 234-7601

Other names 1

  • Cliff McRae Allred Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211208003709 TN Practitioner - Nurse Practitioner 5294125118 Reassigns benefits to 1 organization
I20230417000042 MS Practitioner - Nurse Practitioner 5294125118 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Right Track Medical Group, IncGroup PAC ID 8729403415, 26 clinicians
Precise Clinical Neuroscience SpecialistsGroup PAC ID 4880737626, 37 clinicians

Practice addresses (Care Compare)

200 Hwy 12 E
Starkville, MS 39759-3766
Phone (662) 234-7601

9035 E Sandidge Rd
Suite 201
Olive Branch, MS 38654-3563
Phone (662) 234-7601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
226420TNMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Right Track Medical Group, Inc CurrentSince Mar 8, 2023 Accepting new patients
Vogelfanger and Struble Clinic Psychiatric/Mental Health CurrentSince Aug 19, 2021 Accepting new patients
Beacon Behavioral of Mississippi, LLC PastSince Jul 21, 2024 Accepting new patients
Precise Clinical Neuroscience Specialists Past Accepting new patients

Locations

9035 E Sandidge Rd
Ste 201
Olive Branch, MS 38654
Phone (662) 408-4631

200 Highway 12 E
Starkville, MS 39759
Phone (662) 498-1900

6005 Park Ave
Ste 630B
Memphis, TN 38119
Phone (901) 767-1136

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1265030175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 630B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195226",
            "telephone_number": "901-767-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 630B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195226",
            "telephone_number": "901-767-1136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9035 E Sandidge Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Olive Branch",
            "state": "MS",
            "postal_code": "386543563",
            "country_code": "US",
            "telephone_number": "662-234-7601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLRED",
        "first_name": "CLIFTON",
        "middle_name": "MCRAE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-13",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "905626",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "29014",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TN",
            "license": "226420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLIFF",
            "last_name": "ALLRED",
            "middle_name": "MCRAE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.