Active NPI
Preventivemd, PLLC
- Internal Medicine Physician
- Memphis, TN
National Provider Identifier
1386478949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PREVENTIVEMD, PLLC
- Practice address
- 4066 Summer Ave
Memphis, TN 38122-5262 - Phone
- (901) 452-7391
- NPI assigned
- Aug 27, 2024
- Last updated
- Apr 14, 2026
- Organization subpart
- Yes
- Parent organization
- PREVENTIVEMD, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Wright-Matthews
- Title
- Ceo
- Phone
- (901) 201-5675
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Clinic/Center | 261Q00000X | NU |
Addresses
Primary practice location
4066 Summer Ave
Memphis, TN 38122-5262
Mailing address
4066 Summer Ave
Memphis, TN 38122-5262
Phone (901) 452-7391
National Provider Directory
National Provider Directory- Tax ID family
- Preventivemd PLLC
- Part of
- Preventivemd PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1003648890
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1003648890
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1831291533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776124800000",
"number": "1386478949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4066 SUMMER AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381225262",
"telephone_number": "901-452-7391",
"fax_number": "901-545-5088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4066 SUMMER AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381225262",
"telephone_number": "901-452-7391"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREVENTIVEMD, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PREVENTIVEMD, PLLC",
"enumeration_date": "2024-08-27",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A",
"authorized_official_last_name": "WRIGHT-MATTHEWS",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "901-201-5675"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": false
}
],
"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 Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.