MID-SOUTH CARDIOVASCULAR CENTER, LLC
MID-SOUTH CARDIOVASCULAR CENTER, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1124171590, based in Memphis, TN. It is classified under Cardiovascular Disease Physician.
Getting there
The practice address on file is 4066 SUMMER AVE, Memphis, TN 38122. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 35778 | TN | Cardiovascular Disease Physician primary |
This provider holds licence 35778 issued in TN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 8729020292
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Cardiovascular Disease covers
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. NUCC Health Care Provider Taxonomy, code 207RC0000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1124171590 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 19, 2007 |
| Last updated | May 20, 2025 |
| Status | Active |
| Practice address |
4066 SUMMER AVE Memphis, TN 38122 (901) 725-2222 Fax (901) 725-1133 |
| Mailing address |
PO BOX 382668 Germantown, TN 38183 |
| Other identifiers |
20573241
(MO) 99220 (AR) 3869275 (TN) 00125364 (MS) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 2 | 4 | 1 | 7 | 1 | 5 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 4 | 4 | 2 | 7 | 2 | 5 | 9 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.