Active NPI
Ut Medical Group, Inc.
- Ophthalmology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- UT MEDICAL GROUP, INC.
- Practice address
- 930 Madison Ave Ste 200
Memphis, TN 38103-3452 - Phone
- (901) 448-6650
- Fax
- (901) 302-2486
- NPI assigned
- Sep 15, 2025
- Last updated
- Sep 15, 2025
- Organization subpart
- Yes
- Parent organization
- UT MEDICAL GROUP, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Courtney Knop Love
- Title
- Chief Operations Officer
- Phone
- (901) 866-8105
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
930 Madison Ave Ste 200
Memphis, TN 38103-3452
Mailing address
930 Madison Ave Ste 200
Memphis, TN 38103-3452
Phone (901) 448-6650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251021000208 | TN | DME Supplier - Physician - Ophthalmology | 3173435369 | Practice locations: Memphis, TN |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Hematologycoag Cnslt Lab
- Part of
- Hematologycoag Cnslt Lab
Other organizations with this tax ID 9
Organizations that report the same tax identification number in the National Provider Directory.
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- NPI 1467868000
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- Memphis, TN
- NPI 1659788974
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Locations (25 of 29)
623 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 932-2211
310 W Tyler Ave
West Memphis, AR 72301
Phone (870) 732-2398
1325 Highway 4 E
Holly Springs, MS 38635
Phone (662) 252-6210
1894 Cedar St
Mc Kenzie, TN 38201
Phone (731) 207-6496
1068 Cresthaven Rd
Ste 210
Memphis, TN 38119
Phone (901) 866-8805
1068 Cresthaven Rd
Ste 250
Memphis, TN 38119
Phone (901) 685-3490
1068 Cresthaven Rd
Ste 400
Memphis, TN 38119
Phone (901) 448-6650
1264 Wesley Dr
Ste 103A
Memphis, TN 38116
Phone (901) 726-9450
1325 Eastmoreland Ave
Ste 220
Memphis, TN 38104
Phone (901) 448-5227
1325 Eastmoreland Ave
Ste 260
Memphis, TN 38104
Phone (901) 272-6051
1325 Eastmoreland Ave
Ste 310
Memphis, TN 38104
Phone (901) 272-6010
1325 Eastmoreland Ave
Ste 445
Memphis, TN 38104
Phone (901) 866-8810
1331 Union Ave
Ste 750
Memphis, TN 38104
Phone (501) 515-0110
135 N Pauline St
Ste 63
Memphis, TN 38105
Phone (901) 448-6400
1391 Madison Ave
Memphis, TN 38104
Phone (901) 725-5399
1910 Nonconnah Blvd
Memphis, TN 38132
Phone (901) 448-2300
1910 Nonconnah Blvd
Ste 120
Memphis, TN 38132
Phone (901) 448-1480
3358 S 3rd St
Memphis, TN 38109
Phone (901) 448-8200
50 Humphreys Center Dr
#30
Memphis, TN 38120
Phone (901) 747-2312
534 N 2nd St
Memphis, TN 38105
Phone (901) 448-1956
6027 Walnut Grove Rd
Ste 110
Memphis, TN 38120
Phone (844) 605-5496
6401 Poplar Ave
Ste 190
Memphis, TN 38119
Phone (901) 767-4479
756 Ridge Lake Blvd
Ste 120
Memphis, TN 38120
Phone (901) 312-5993
7675 Wolf River Cir
Ste 101
Memphis, TN 38138
Phone (901) 268-0548
777 Washington Ave
Ste P110
Memphis, TN 38105
Phone (901) 287-6182
Practitioners & affiliated clinicians
Practitioners 166
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.
-
- Neurology Physician
- Memphis, TN
- NPI 1336672476
-
- Neurology Physician
- Memphis, TN
- NPI 1861526915
-
- Neurology Physician
- Memphis, TN
- NPI 1720309248
-
- Plastic Surgery Physician
- Memphis, TN
- NPI 1952543084
-
- Ophthalmology Physician
- Memphis, TN
- NPI 1639532823
-
- Psychiatry Physician
- Memphis, TN
- NPI 1295223543
-
- Family Medicine Physician
- Jackson, TN
- NPI 1710474655
-
- Physician Assistant
- Memphis, TN
- NPI 1679818124
-
- Psychiatry Physician
- Memphis, TN
- NPI 1710546213
-
- Plastic Surgery Physician
- Memphis, TN
- NPI 1831254127
-
- Neurology Physician
- Memphis, TN
- NPI 1760459168
-
- Epilepsy Physician
- Memphis, TN
- NPI 1417290057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757894400000",
"number": "1326919200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 MADISON AVE STE 200",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381033452",
"telephone_number": "901-448-6650",
"fax_number": "901-302-2486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 MADISON AVE STE 200",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381033452",
"telephone_number": "901-448-6650",
"fax_number": "901-302-2486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UT MEDICAL GROUP, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UT MEDICAL GROUP, INC.",
"enumeration_date": "2025-09-15",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A",
"authorized_official_last_name": "LOVE",
"authorized_official_first_name": "COURTNEY",
"authorized_official_middle_name": "KNOP",
"authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
"authorized_official_telephone_number": "901-866-8105"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.