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Specialty Physician Group LLC

Q: What type of organization is Specialty Physician Group LLC?

Specialty Physician Group LLC is registered in NPPES as a Cardiovascular Disease Physician (its primary provider taxonomy).

Cardiovascular Disease Physician in Germantown, TN · enumerated 2010 · authorized official Tabatha Perry, Manager, Provider Enrollment.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174842181

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Registry record

Entity type Organization (Type 2)

Legal business name Specialty Physician Group LLC

Practice address 7460 Wolf River Blvd, Germantown, TN, 38138

Phone (901) 763-0200

Fax (901) 761-4002

Enumeration date Jun 1, 2010

Last updated in NPPES Sep 22, 2025

Taxonomy & classification

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Primary

207RC0001X Clinical Cardiac Electrophysiology Physician Allopathic & Osteopathic Physicians Secondary

207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians Secondary

2080P0202X Pediatric Cardiology Physician Allopathic & Osteopathic Physicians Secondary

208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363LA2100X Acute Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Tabatha Perry

Title Manager, Provider Enrollment

Phone (901) 478-0954

Other identifiers

Identifier	Type	State	Issuer
183763002	Medicaid	AR	-
1519260	Medicaid	TN	-
4269952	Other	TN	BCBS TN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Specialty Physician Group LLC?

Specialty Physician Group LLC is registered in NPPES as a Cardiovascular Disease Physician (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-22.