Organization Active NPI

Ut Medical Group, Inc.

  • Ophthalmology Physician
  • Memphis, TN
National Provider Identifier
1326919200
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
UT MEDICAL GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 Lab10 organizations share this tax ID, including this one
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.

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.

View all 166

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.

Verify at the official NPI Registry.