POPLAR AVENUE CLINIC PLLC
POPLAR AVENUE CLINIC PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1124588793, based in Memphis, TN. The organization lists 13 taxonomy classifications, with Gynecologic Oncology Physician recorded as primary.
Getting there
The practice address on file is 6584 POPLAR AVE STE 400, Memphis, TN 38138. 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
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0042552457
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Mississippi | O20190506001682 | Part B Supplier - Clinic/group Practice |
| Tennessee | O20190515003081 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records across 2 states (MS, TN). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Gynecologic Oncology covers
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. NUCC Health Care Provider Taxonomy, code 207VX0201X
All registered taxonomy codes
This provider registers 13 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207VX0201X | Gynecologic Oncology Physician Gynecologic Oncology | — | — | primary |
| 2085R0204X | Vascular & Interventional Radiology Physician Vascular & Interventional Radiology | — | — | |
| 2086S0129X | Vascular Surgery Physician Vascular Surgery | — | — | |
| 261QF0050X | Non-Surgical Family Planning Clinic/Center Family Planning, Non-Surgical | — | — | |
| 261QM1300X | Multi-Specialty Clinic/Center Multi-Specialty | — | — | |
| 261QM2500X | Medical Specialty Clinic/Center Medical Specialty | — | — | |
| 261QP2300X | Primary Care Clinic/Center Primary Care | — | — | |
| 261QU0200X | Urgent Care Clinic/Center Urgent Care | — | — | |
| 363A00000X | Physician Assistant | — | — | |
| 363AM0700X | Medical Physician Assistant Medical | — | — | |
| 363AS0400X | Surgical Physician Assistant Surgical | — | — | |
| 363LW0102X | Women's Health Nurse Practitioner Women's Health | — | — | |
| 367500000X | Certified Registered Nurse Anesthetist | — | — |
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 | 1124588793 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 20, 2019 |
| Last updated | Sep 6, 2022 |
| Status | Active |
| Practice address |
6584 POPLAR AVE STE 400 Memphis, TN 38138 (901) 300-6713 Fax (901) 552-5891 |
| Mailing address |
PO BOX 172344 Memphis, TN 38187 |
| Other identifiers |
893541
· Medicaid (TN) 6528091 · Medicaid (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 | 5 | 8 | 8 | 7 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 4 | 4 | 1 | 8 | 7 | 7 | 9 |
Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3
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.