IAC ASSOCIATES PLLC NPI 1487126272

NPI Information

NPI: 1487126272
Provider Name: IAC ASSOCIATES PLLC

Former Legal Business Name: HAMM & BLACKSTOCK PLLC

Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 44D2220668

Address:
6401 POPLAR AVE STE 500
MEMPHIS, TN
ZIP 38119
Phone: (901) 746-9438
Get Directions

IAC ASSOCIATES PLLC is an addiction medicine family medicine in Memphis, TN. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. IAC ASSOCIATES PLLC NPI is 1487126272. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Hamm & Blackstock Pllc.

The provider's business location address is:

6401 POPLAR AVE STE 500
MEMPHIS, TN
ZIP 38119-808
Phone: (901) 746-9438
Fax: (941) 746-9331

The provider's authorized official is Steve Armond .
The authorized official title is Cfo and has the following contact phone number (615) 921-4475.

The CLIA number assigned to this NPI record is 44D2220668 - other - behavioral health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2018 and was last updated on 9/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	261QM0850X	Clinic/Center	Adult Mental Health	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
4	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
6	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
7	207QA0401X	Family Medicine	Addiction Medicine	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q048108	MEDICAID	TENNESSEE
2	03401509	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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