SPECIALTY PHYSICIAN GROUP LLC
NPI 1174842181
Internal Medicine - Cardiovascular Disease in Germantown, TN
NPI Status: Active since June 01, 2010
Contact Information
7460 WOLF RIVER BLVD
GERMANTOWN, TN
ZIP 38138
Phone: (901) 763-0200
Fax: (901) 761-4002
- Organization
- Internal Medicine
- Cardiovascular Disease
- Accepts Insurance
- CLIA Number: 44D2081214
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-20-2026
About SPECIALTY PHYSICIAN GROUP LLC
This page provides the complete NPI Profile along with additional information for Specialty Physician Group Llc, an internist established in Germantown, Tennessee operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1174842181 assigned on June 2010. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated one year ago. Specialty Physician Group Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Charles R Lane (Svp/cfo)
- NPI
- 1174842181
- Provider Name
- SPECIALTY PHYSICIAN GROUP LLC
- Entity Type
- Organization
- Location Address
- 7460 WOLF RIVER BLVD GERMANTOWN, TN 38138
- Location Phone
- (901) 763-0200
- Location Fax
- (901) 761-4002
- Mailing Address
- 1211 UNION AVE SUITE 700 MEMPHIS, TN 38104
- Mailing Phone
- (901) 516-0520
- Mailing Fax
- (901) 761-4002
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-01-2010
- Last Update Date
- 06-06-2024
- Code Navigator
An internist like Specialty Physician Group Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RC0001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RI0011X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 2080P0202X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 4 | 208G00000X | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 5 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 6 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 7 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 8 | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 9 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold (QualChoice) - POS
- Elite Gold (QualChoiceLife) - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Everyday Silver (QualChoiceLife) - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 5500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 6500 Indiv Med Deductible - EPO
- Connect Bronze 7500 Indiv Med Deductible - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold 2000 Indiv Med Deductible - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Silver 2875 Indiv Med Deductible - EPO
- Connect Silver 3800 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Silver 3825 Indiv Med Deductible - EPO
- Connect Silver 4000 Indiv Med Deductible - EPO
- Connect Silver 6500 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 183763002 | MEDICAID (05) | AR | |
| 1519260 | MEDICAID (05) | TN | |
| 4269952 | OTHER (01) | TN | BCBS TN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D2081214
- Facility Type
- Physician Office
- Certificate Effective Date
- July 21, 2024
- Certificate Expiration Date
- July 20, 2026
- Laboratory Director
- OLUWASEUN A. AKINSEYE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Specialty Physician Group Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 8 | 4 | 2 | 1 | 8 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 16 | 4 | 4 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 6 + 4 + 4 + 1 + 1 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1174842181 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1548266786 | TIBOR SANDOR SZABO MD Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 7460 WOLF RIVER BLVD GERMANTOWN, TN 38138 (901) 763-0200 |
| 1295901247 | HONOUR M BATEY FNP-BC Individual | Nurse Practitioner (Family) | 7460 WOLF RIVER BLVD GERMANTOWN, TN 38138 (901) 763-0200 |
| 1689925455 | SARAH R MATTOX PA-C Individual | Physician Assistant | 7460 WOLF RIVER BLVD GERMANTOWN, TN 38138 (901) 763-0200 |
| 1336327295 | BRIAN JAMES BORKOWSKI MD Individual | Internal Medicine (Interventional Cardiology) | 7460 WOLF RIVER BLVD GERMANTOWN, TN 38138 (901) 763-0200 |
| 1629078324 | JAMES T LITZOW M.D. Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 7460 WOLF RIVER BLVD GERMANTOWN, TN 38138 (901) 763-0200 |
| 1144501701 | HEATHER SMITH FNP Individual | Nurse Practitioner (Family) | 7460 WOLF RIVER BLVD GERMANTOWN, TN 38138 (901) 763-0200 |
| 1255516712 | YOLANDA M WINFREY NP Individual | Nurse Practitioner | 7460 WOLF RIVER BLVD GERMANTOWN, TN 38138 (901) 763-0200 |
| 1003097593 | MEHUL B PATEL MD Individual | Internal Medicine (Interventional Cardiology) | 7460 WOLF RIVER BLVD GERMANTOWN, TN 38138 (901) 763-0200 |
| 1972867422 | DAVID MADISON FLATT M.D. Individual | Internal Medicine (Cardiovascular Disease) | 7460 WOLF RIVER BLVD GERMANTOWN, TN 38138 (901) 763-0200 |
| 1598007106 | MRS. LACIE WHITTEN CRAWFORD PA-C Individual | Physician Assistant (Medical) | 7460 WOLF RIVER BLVD GERMANTOWN, TN 38138 (901) 763-0200 |
| 1861988156 | HALEY S GORE NP Individual | Nurse Practitioner (Family) | 7460 WOLF RIVER BLVD GERMANTOWN, TN 38138 (901) 763-0200 |
| 1720088297 | STEVEN L AKINS MD Individual | Internal Medicine (Interventional Cardiology) | 7460 WOLF RIVER BLVD GERMANTOWN, TN 38138 (901) 763-0200 |
| 1306417548 | ASHLEY NOEL DANIEL NP Individual | Nurse Practitioner | 7460 WOLF RIVER BLVD GERMANTOWN, TN 38138 (901) 763-0200 |
| 1477001055 | AMY N KAISER NP Individual | Nurse Practitioner (Adult Health) | 7460 WOLF RIVER BLVD GERMANTOWN, TN 38138 (901) 763-0200 |
| 1932529195 | LEAH JOHN Individual | Internal Medicine (Cardiovascular Disease) | 7460 WOLF RIVER BLVD GERMANTOWN, TN 38138 (901) 763-0200 |
| 1558429522 | DR. MATTHEW ROBERT LYONS M.D. Individual | Internal Medicine (Cardiovascular Disease) | 7460 WOLF RIVER BLVD GERMANTOWN, TN 38138 (901) 763-0200 |
| 1558993279 | ROBERT DECOLLI III CRNP Individual | Nurse Practitioner | 7460 WOLF RIVER BLVD GERMANTOWN, TN 38138 (901) 763-0200 |
| 1053542845 | MRS. PENNEY L WILLIAMS FNP Individual | Nurse Practitioner (Family) | 7460 WOLF RIVER BLVD GERMANTOWN, TN 38138 (901) 763-0200 |
| 1720251754 | MS. DELORES ROBERSON WOODLEY FNP Individual | Nurse Practitioner | 7460 WOLF RIVER BLVD GERMANTOWN, TN 38138 (901) 763-0200 |
| 1497204911 | DEIADRA BROWN DNP Individual | Nurse Practitioner (Family) | 7460 WOLF RIVER BLVD GERMANTOWN, TN 38138 (901) 763-0200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174842181, enumerated in the NPI registry as an "organization" on June 01, 2010
The provider is located at 7460 Wolf River Blvd Germantown, Tn 38138 and the phone number is (901) 763-0200
This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 44D2081214 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 01, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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