NPIMap

Organization Active NPI

Memphis Primary Care Specialists

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1629237292
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEMPHIS PRIMARY CARE SPECIALISTS
Practice address
3055 Watson St
Memphis, TN 38118-3011
Phone
(901) 369-6001
NPI assigned
Jun 8, 2008
Last updated
Jul 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Dr. Shoaib Qureshi, MDNPI 1417056250
Title
Owner
Phone
(901) 369-6008

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3055 Watson St
Memphis, TN 38118-3011

Mailing address

3055 Watson St.
Memphis, TN 38118-3035
Phone (901) 384-9920

Other practice location 1

3960 Knight Arnold Rd
Suite 102
Memphis, TN 38118-3035
Phone (901) 369-6008

Other practice location 2

2900 Kirby Rd Ste 5
Memphis, TN 38119-8205
Phone (901) 369-6008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140710001036 TN Part B Supplier - Clinic/Group Practice 1355578642 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Memphis, TN; Bartlett, TN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Memphis Primary Care Specialist Tennessee2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2028 W Poplar Ave
Ste 115
Collierville, TN 38017
Phone (901) 221-8983

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1212883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1629237292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 WATSON ST.",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183035",
            "telephone_number": "901-384-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 WATSON ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183011",
            "telephone_number": "901-369-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3960 Knight Arnold Rd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381183035",
            "country_code": "US",
            "telephone_number": "901-369-6008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 Kirby Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381198205",
            "country_code": "US",
            "telephone_number": "901-369-6008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEMPHIS PRIMARY CARE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-08",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "SHOAIB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-369-6008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 Jul 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.