Southern Cardiovascular PLLC
NPI 1447415104 · Multi-Specialty Clinic/Center · Memphis, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Cardiovascular PLLC is a Multi-Specialty Clinic/Center organization in Memphis, TN (NPI 1447415104).
Provider details
- NPI number
- 1447415104
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jonathan Ellichman, President(901) 259-2718
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
17 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
- 2008-07-22
- Last updated
- 2018-08-15
Frequently asked questions
- What is Southern Cardiovascular PLLC's NPI number?
- Southern Cardiovascular PLLC's National Provider Identifier (NPI) is 1447415104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Cardiovascular PLLC?
- Southern Cardiovascular PLLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Cardiovascular PLLC located?
- Southern Cardiovascular PLLC's practice location on file with NPPES is 6401 Poplar Ave Ste 410, Memphis, TN 38119.
- What is Southern Cardiovascular PLLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Cardiovascular PLLC is (901) 259-2718.
- Does Southern Cardiovascular PLLC accept Medicare?
- Southern Cardiovascular 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 Southern Cardiovascular PLLC?
- The authorized official listed on Southern Cardiovascular PLLC's NPPES record is Jonathan Ellichman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Cardiovascular PLLC's NPI active?
- Yes — Southern Cardiovascular PLLC's NPI (1447415104) is active in the NPPES registry as of the last update on 2018-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.