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

Specialty Physician Group LLC

Organization Cardiovascular Disease Physician · NPI 1174842181

Specialty Physician Group LLC is a Cardiovascular Disease Physician in Germantown, Tennessee. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
10
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7460 Wolf River Blvd
Germantown, TN 38138-1760
Phone: (901) 763-0200
Fax: (901) 761-4002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X
Interventional Cardiology Physician Taxonomy 207RI0011X
Pediatric Cardiology Physician Taxonomy 2080P0202X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X
Acute Care Nurse Practitioner Taxonomy 363LA2100X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1174842181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tabatha Perry — Manager, Provider Enrollment · (901) 478-0954
NPI enumeratedJune 1, 2010
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing address1211 Union Ave Ste 700, Memphis, TN 38104-6600

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