Individual provider Active NPI

Lani Kai Clinton, MD, PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • Memphis, TN
National Provider Identifier
1396007878
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
69136 Issued in TN
Practice address
3495 Hacks Cross Rd
Memphis, TN 38125-8803
Phone
(901) 526-7444
Fax
(901) 526-0791
NPI assigned
Jun 12, 2012
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 69136 TN Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2017-01610 NC

Addresses

Primary practice location

3495 Hacks Cross Rd
Memphis, TN 38125-8803

Mailing address

3495 Hacks Cross Rd
Memphis, TN 38125-8803
Phone (901) 526-7444

Other practice location 1

651 Ilalo St
Meb #401a
Honolulu, HI 96813-5525
Phone (808) 692-1131

Other practice location 2

51 Germantown Ct Ste 309
Cordova, TN 38018-4290
Phone (901) 333-0510

Other identifiers 2

IdentifierTypeStateIssuer
Q090025MedicaidTN
200025600MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231117002350 TN Practitioner - Pathology 7911264205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Hawaii John a. Burns School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Center of the Midsouth PLLCGroup PAC ID 4880619824, 148 clinicians

Practice addresses (Care Compare)

51 Germantown CT
Suite 309
Cordova, TN 38018-4290
Phone (901) 333-0510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Poplar Healthcare, PLLC CurrentSince Nov 2, 2023 Accepting new patients
Gastroenterology Center of the Midsouth PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jan 12, 2026 Accepting new patients

Locations

Gastro Onegovt Arhcl
New York, NY 10087

51 Germantown Ct
Ste 309
Cordova, TN 38018
Phone (901) 333-0510

1325 Eastmoreland Ave
Ste 410
Memphis, TN 38104
Phone (901) 261-6650

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1396007878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 HACKS CROSS RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258803",
            "telephone_number": "901-526-7444",
            "fax_number": "901-526-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 HACKS CROSS RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258803",
            "telephone_number": "901-526-7444",
            "fax_number": "901-526-0791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 Ilalo St",
            "address_2": "MEB #401A",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968135525",
            "country_code": "US",
            "telephone_number": "808-692-1131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51 Germantown Ct Ste 309",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380184290",
            "country_code": "US",
            "telephone_number": "901-333-0510",
            "fax_number": "901-747-2380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "LANI",
        "middle_name": "KAI",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "69136",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2017-01610",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q090025",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200025600",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.