Poplar Avenue Clinic PLLC
NPI 1124588793 · Gynecologic Oncology Physician · Memphis, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Poplar Avenue Clinic PLLC is a Gynecologic Oncology Physician organization in Memphis, TN (NPI 1124588793).
Provider details
- NPI number
- 1124588793
- Entity type
- Organization
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Huda Alaeddin, Office Manager(901) 870-8840
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Vascular Surgery Physician2086S0129X
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Other names (DBA / former)
- Doing business as
- Poplar Avenue Clinic PLLC
Additional practice locations (1)
- 1726 Poplar AveMemphis, TN 38104-6426Phone: (901) 300-6713Fax: (901) 881-0337
Registry dates
- Enumerated
- 2019-03-20
- Last updated
- 2022-09-06
- Certified
- 2022-09-06
Frequently asked questions
- What is Poplar Avenue Clinic PLLC's NPI number?
- Poplar Avenue Clinic PLLC's National Provider Identifier (NPI) is 1124588793, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Poplar Avenue Clinic PLLC?
- Poplar Avenue Clinic PLLC is classified in the NPPES registry as Gynecologic Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Poplar Avenue Clinic PLLC located?
- Poplar Avenue Clinic PLLC's practice location on file with NPPES is 6584 Poplar Ave Ste 400, Memphis, TN 38138-3687.
- What is Poplar Avenue Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Poplar Avenue Clinic PLLC is (901) 300-6713.
- Does Poplar Avenue Clinic PLLC accept Medicare?
- Poplar Avenue Clinic PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Poplar Avenue Clinic PLLC?
- The authorized official listed on Poplar Avenue Clinic PLLC's NPPES record is Huda Alaeddin, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Poplar Avenue Clinic PLLC's NPI active?
- Yes — Poplar Avenue Clinic PLLC's NPI (1124588793) is active in the NPPES registry as of the last update on 2022-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.