Organization Active NPI

Beloved Medical, LLC

  • Family Medicine Physician
  • Cordova, TN
National Provider Identifier
1699210369
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BELOVED MEDICAL, LLC
Practice address
8045 Club Pkwy
Cordova, TN 38016-5977
Phone
(901) 249-0847
Fax
(833) 673-0465
NPI assigned
Jan 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Ikechukwu Emereuwaonu, MDNPI 1164664066
Title
Owner
Phone
(901) 249-0847

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X TN Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X TN

Addresses

Primary practice location

8045 Club Pkwy
Cordova, TN 38016-5977

Mailing address

8045 Club Pkwy
Cordova, TN 38016-5977
Phone (901) 249-0847

Other identifiers 2

IdentifierTypeStateIssuer
1518092MedicaidTN
Q028486MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://athenanet.athenahealth.com/22921/92/login.esp Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171006000737 TN Part B Supplier - Clinic/Group Practice 8123393766 Receives reassigned benefits from 2 practitioners
Practice locations: Cordova, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2225321Beloved Medical PLLC8045 Club Pkwy, Cordova, TN 38016Certificate of waiverMay 19, 2027

National Provider Directory

National Provider Directory

Locations

3030 Covington Pike
Ste 200
Memphis, TN 38128
Phone (901) 266-8760

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1699210369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 CLUB PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165977",
            "telephone_number": "901-249-0847",
            "fax_number": "833-673-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 CLUB PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165977",
            "telephone_number": "901-249-0847",
            "fax_number": "833-673-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELOVED MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "EMEREUWAONU",
        "authorized_official_first_name": "IKECHUKWU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-249-0847",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518092",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q028486",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://athenanet.athenahealth.com/22921/92/login.esp",
            "affiliation": "N",
            "endpointDescription": "Athena EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HL7",
            "address_1": "8045 Club Pkwy",
            "city": "Cordova",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380165977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.