Collierville Medical Assoc Inc
NPI 1063608271 · Primary Care Clinic/Center · Collierville, TN
Collierville Medical Assoc Inc is a Primary Care Clinic/Center organization in Collierville, TN (NPI 1063608271).
Provider details
- NPI number
- 1063608271
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Ballard, President(901) 853-4747
- License
- 007768 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-09-20
- Last updated
- 2007-09-20
Frequently asked questions
- What is Collierville Medical Assoc Inc's NPI number?
- Collierville Medical Assoc Inc's National Provider Identifier (NPI) is 1063608271, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Collierville Medical Assoc Inc?
- Collierville Medical Assoc Inc is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Collierville Medical Assoc Inc located?
- Collierville Medical Assoc Inc's practice location on file with NPPES is 151 N Main St, Collierville, TN 38017-2670.
- What is Collierville Medical Assoc Inc's phone number?
- The practice phone number listed in the NPPES registry for Collierville Medical Assoc Inc is (901) 853-4747.
- Who is the authorized official for Collierville Medical Assoc Inc?
- The authorized official listed on Collierville Medical Assoc Inc's NPPES record is Robert Ballard, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Collierville Medical Assoc Inc's NPI active?
- Yes — Collierville Medical Assoc Inc's NPI (1063608271) is active in the NPPES registry as of the last update on 2007-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.