Organization Active NPI

Roane Primary Care and Family Medicine

Doing business as Roane Primary and Urgent Care Clinic

  • Primary Care Clinic/Center
  • Memphis, TN
National Provider Identifier
1700720059
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ROANE PRIMARY CARE AND FAMILY MEDICINE
Doing business as
Roane Primary and Urgent Care Clinic
Practice address
4913 Raleigh Common Dr Ste 201
Memphis, TN 38128-2485
Phone
(901) 692-8014
NPI assigned
Apr 16, 2026
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Dr. Shaunta Lea Roane, DNP-FNP-CNPI 1982265088
Title
Nurse Practitioner
Phone
(901) 692-8014

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Urgent Care Clinic/Center 261QU0200X
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

4913 Raleigh Common Dr Ste 201
Memphis, TN 38128-2485

Mailing address

4913 Raleigh Common Dr Ste 201
Memphis, TN 38128-2485
Phone (901) 692-8014

Other names 1

  • Roane Primary and Urgent Care Clinic Doing business as

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
44D2345249Roane Primary Care and Family Medicine4913 Raleigh Commons Dr, Suite 201, Memphis, TN 38128Certificate of waiverJun 7, 2028

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1700720059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 RALEIGH COMMON DR STE 201",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282485",
            "telephone_number": "901-692-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 RALEIGH COMMON DR STE 201",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282485",
            "telephone_number": "901-692-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANE PRIMARY CARE AND FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "ROANE",
        "authorized_official_first_name": "SHAUNTA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "901-692-8014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP-FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roane Primary and Urgent Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.