MEMPHIS CHILDREN'S CLINIC – NPI #1740362896
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

MEMPHIS CHILDREN'S CLINIC is a provider located in BARTLETT, TN. NPPES has assigned the NPI number 1740362896 to MEMPHIS CHILDREN'S CLINIC on October 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is BARTLETT CHILDREN'S CLINIC. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 12 years ago on Nov 05, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEMPHIS CHILDREN'S CLINIC below.

NPI Profile for
MEMPHIS CHILDREN'S CLINIC

NPI Number
1740362896
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEMPHIS CHILDREN'S CLINIC
Former Legal Business Name: BARTLETT CHILDREN'S CLINIC
Primary location
6385 STAGE ROAD
SUITE 2
BARTLETT, TN 38134
Phone: (901) 386-1683 Fax: (901) 385-8252
Mailing address
1129 HALE ROAD
MEMPHIS, TN 38116-6397
Phone: (901) 396-0390 Fax: (901) 507-7561
Organization Subpart
No
Authorized Official
TIMOTHY GILLESPIE
CMO
Phone: (901) 396-0390
Updated
Identifiers

Identifiers for MEMPHIS CHILDREN'S CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTN3382354
MEDICAIDTN5440448
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
TN MD0000008001

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.