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

Memphis and Shelby County Health Dept

Organization Family Medicine Physician · NPI 1073514055

Memphis and Shelby County Health Dept provides Family Medicine Physician services in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2005.

Licensed in
TN
In the registry since
2005
Specialties on file
3

Practice location Address checks out

1064 Breedlove St
Memphis, TN 38107-2805
Phone: (901) 515-5400
Fax: (901) 526-1208
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 36735 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 26170 (TN)
Pediatrics Physician Taxonomy 208000000X · Licence 20023 (TN)

Record details

NPI number1073514055
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clayton Moore — Controller · (901) 272-0387
Other names Shelby County Government
NPI enumeratedAugust 2, 2005
Last updated in NPPESSeptember 11, 2025
Mailing address877 Jefferson Ave, 5th Floor Adams Pavilion, Memphis, TN 38103-2807

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