Active NPI
My Clinic Memphis, LLC
Doing business as My Clinic Memphis
- Primary Care Clinic/Center
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MY CLINIC MEMPHIS, LLC
- Doing business as
- My Clinic Memphis
- Practice address
- 4901 Raleigh Common Dr Ste 100
Memphis, TN 38128-2478 - Phone
- (901) 545-4331
- NPI assigned
- May 20, 2025
- 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
- Elisheva Reese, MSN, APRN, FNP-BC
- Title
- Family Nurse Practitioner / Owner
- Phone
- (901) 545-4331
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Research Clinic/Center | 261QR1100X |
Addresses
Primary practice location
4901 Raleigh Common Dr Ste 100
Memphis, TN 38128-2478
Mailing address
4901 Raleigh Common Dr Ste 100
Memphis, TN 38128-2478
Phone (901) 545-4331
Other names 1
- My Clinic Memphis
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 |
|---|---|---|---|
| 44D2336267 | My Clinic Memphis | Certificate of waiver | Dec 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
4901 Raleigh Common Dr
Ste 110
Memphis, TN 38128
Phone (901) 385-9586
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Bartlett, TN
- NPI 1528422441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774137600000",
"number": "1366234023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 RALEIGH COMMON DR STE 100",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381282478",
"telephone_number": "901-545-4331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 RALEIGH COMMON DR STE 100",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381282478",
"telephone_number": "901-545-4331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY CLINIC MEMPHIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-20",
"last_updated": "2026-03-22",
"certification_date": "2026-03-22",
"status": "A",
"authorized_official_last_name": "REESE",
"authorized_official_first_name": "ELISHEVA",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER / OWNER",
"authorized_official_telephone_number": "901-545-4331",
"authorized_official_credential": "MSN, APRN, FNP-BC"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "My Clinic Memphis",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 22, 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.