Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Collierville Medical Specialists

Organization Family Medicine Physician · NPI 1053416776

Collierville Medical Specialists is a Family Medicine Physician in Collierville, Tennessee. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
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Practice location Address checks out

526 Halle Park Dr
Collierville, TN 38017-7085
Phone: (901) 854-1877
Fax: (901) 854-6181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1053416776
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Jeffers — Chairman Of The Board · (901) 854-1877
NPI enumeratedSeptember 14, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address526 Halle Park Drive, Collierville, TN 38017-7085

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