MEMPHIS LUNG PHYSICIANS FOUNDATION, INC. – Pulmonary Disease Physician, NPI 1811279656
Pulmonary Disease Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MEMPHIS LUNG PHYSICIANS FOUNDATION, INC.
6025 WALNUT GROVE RD
SUITE 508
MEMPHIS, TN 381202131
Phone: (901) 767-5864
Fax: (901) 767-6591
Type: Location
1500 W Poplar Ave Ste 309
Collierville, TN 380170601
Phone: (901) 850-1170
Fax: (901) 850-1169
Type: Location
401 Southcrest Cir Ste 212
Southaven, MS 386716721
Phone: (662) 349-0488
Fax: (662) 349-5974
Type: Location
6025 Walnut Grove Rd
SUITE 508
Memphis, TN 381202131
Phone: (901) 767-5864
Fax: (901) 767-6591
Type: Location
350 N HUMPHREYS BLVD
MEMPHIS, TN 381202177
Phone: (901) 767-5864
Fax: (901) 767-6591
Type: Mailing
2120 EXETER RD STE 250
GERMANTOWN, TN 381383931
Phone: (901) 767-5864
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-10-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20111007000197 | O | Clinic/Group Practice | TN | TBD |
| O20111018000548 | O | Clinic/Group Practice | MS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 38120)
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