Organization Active NPI

Univ. TN Health Science Center

Doing business as University Health Services

  • Student Health Clinic/Center
  • Memphis, TN
National Provider Identifier
1972637411
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
UNIV. TN HEALTH SCIENCE CENTER
Doing business as
University Health Services
Practice address
910 Madison Ave Ste 922
Memphis, TN 38103-3483
Phone
(901) 448-5630
Fax
(901) 448-7255
NPI assigned
Mar 15, 2007
Last updated
Nov 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Carolyn Ivy
Title
Administrative Aide
Phone
(901) 448-6236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

910 Madison Ave Ste 922
Memphis, TN 38103-3483

Mailing address

910 Madison Ave Ste 922
Memphis, TN 38103-3483
Phone (901) 448-5630

Other names 1

  • University Health Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.uthsc.edu/health-services/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210104000284 TN Part B Supplier - Clinic/Group Practice 3072421213 Receives reassigned benefits from 5 practitioners
Practice locations: Memphis, TN

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

877 Madison Ave
Ste 627
Memphis, TN 38103

920 Madison Ave
Ste 415
Memphis, TN 38103
Phone (901) 448-5888

Practitioners & affiliated clinicians

Practitioners 10

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1972637411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 MADISON AVE STE 922",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033483",
            "telephone_number": "901-448-5630",
            "fax_number": "901-448-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MADISON AVE STE 922",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033483",
            "telephone_number": "901-448-5630",
            "fax_number": "901-448-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIV. TN HEALTH SCIENCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "IVY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "ADMINISTRATIVE AIDE",
        "authorized_official_telephone_number": "901-448-6236"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.uthsc.edu/health-services/",
            "affiliation": "N",
            "address_1": "910 Madison Ave Ste 922",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381033483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "University Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University Health Services",
            "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 Nov 3, 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.