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

Michael Lee Stack, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1316943301

Michael Lee Stack, MD is an Obstetrics/Gynecology in Memphis, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 1999, 27 years ago. Practices with Privia Medical Group Tennessee LLC, a 145-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
27
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6215 Humphreys Blvd Ste 200
Memphis, TN 38120-2382
Phone: (901) 512-6086
Fax: (833) 450-5323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7796 Wolf Trail Cv Ste 202, Germantown, TN 38138-1783 — (901) 512-6086

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 28719 (TN)

Record details

NPI number1316943301
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2005
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024
Mailing address6215 Humphreys Blvd Ste 200, Memphis, TN 38120-2382

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Privia Medical Group Tennessee Llc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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