Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Collierville Family Medical Center PC

Organization Family Medicine Physician · NPI 1063438208

Collierville Family Medical Center PC provides Family Medicine Physician services in Collierville, Tennessee. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

790 W Poplar Ave
Collierville, TN 38017-2544 Not confirmed with CMS for 16 years — call before visiting
Phone: (901) 853-9700
Fax: (901) 853-9996
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1063438208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Crawford — Owner/Provider/President · (901) 853-9700
NPI enumeratedJuly 14, 2006
Last updated in NPPESJanuary 5, 2010
Mailing address790 W Poplar Ave, Collierville, TN 38017-2544

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