Organization
PREMIER PEDIATRICS OF MEMPHIS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA MARIE BLACK (PRACTICE ADMINISTRATOR)
(901) 259-9200
Entity
Organization
Contact information
Practice address
9160 HWY 64, STE 5, LAKELAND, TN 38002
(901) 259-9200
(888) 494-2188
Mailing address
PO BOX 248, CORDOVA, TN 38088-0248
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
06/18/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up