Active NPI
Charles Retina Institute PC
- Specialist
- Germantown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD8675
- Legal business name
- CHARLES RETINA INSTITUTE PC
- Practice address
- 1432 Kimbrough Rd
Germantown, TN 38138-2405 - Phone
- (901) 767-4499
- Fax
- (901) 761-0727
- NPI assigned
- May 24, 2005
- 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
- Jennifer Messer
- Title
- Administrator
- Phone
- (901) 767-4499
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD8675 | TN | Primary |
Addresses
Primary practice location
1432 Kimbrough Rd
Germantown, TN 38138-2405
Mailing address
1432 Kimbrough Rd
Germantown, TN 38138-2405
Phone (901) 767-4499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3158650 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, AR
Enrollment records 3
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 |
|---|---|---|---|
| 44D2102003 | Charles Retina Institute | Certificate of waiver | Sep 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
6947 Crumpler Blvd
Ste 101
Olive Branch, MS 38654
1432 Kimbrough Rd
Germantown, TN 38138
930 Madison Ave
Ste 100
Memphis, TN 38103
6401 Poplar Ave
Ste 190
Memphis, TN 38119
Phone (901) 866-8700
6401 Poplar Ave
Ste 500
Memphis, TN 38119
Phone (901) 422-8191
2204 Crestmoor Rd
Nashville, TN 37215
Phone (615) 327-4015
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Germantown, TN
- NPI 1821860354
-
- Retina Specialist (Ophthalmology) Physician
- Germantown, TN
- NPI 1861495780
AR, MS
-
- Retina Specialist (Ophthalmology) Physician
- Germantown, TN
- NPI 1326363086
AR, MS
-
- Retina Specialist (Ophthalmology) Physician
- Germantown, TN
- NPI 1811552045
AR, MS
-
- Retina Specialist (Ophthalmology) Physician
- Germantown, TN
- NPI 1992022800
AR, MS
-
- Retina Specialist (Ophthalmology) Physician
- Germantown, TN
- NPI 1174052237
AR, MS
-
- Retina Specialist (Ophthalmology) Physician
- Germantown, TN
- NPI 1689100471
AR, MS
-
- Retina Specialist (Ophthalmology) Physician
- Germantown, TN
- NPI 1356978977
AR, MS
-
- Retina Specialist (Ophthalmology) Physician
- Germantown, TN
- NPI 1194458612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737504000000",
"number": "1477556306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 KIMBROUGH RD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382405",
"telephone_number": "901-767-4499",
"fax_number": "901-761-0727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 KIMBROUGH RD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382405",
"telephone_number": "901-767-4499",
"fax_number": "901-761-0727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES RETINA INSTITUTE PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-24",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A",
"authorized_official_last_name": "MESSER",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "901-767-4499"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TN",
"license": "MD8675",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3158650",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.