OrganizationThe Kidney Group Of Memphis, PllcSpecialistOther Service ProvidersPractice Address2225 Union Ave, Suite 100, Memphis, TN 38104-4316(901) 726-1161PECOS EnrollmentBased on the most recent information from CMS, provider The Kidney Group Of Memphis, Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1467544643Provider TypeOrganizationFull NameThe Kidney Group Of Memphis, PllcSubpartNoEnumeration Date9/28/2006Last Updated2/27/2025Contact InformationPractice LocationPractice Address2225 Union Ave, Suite 100, Memphis, TN 38104-4316Phone(901) 726-1161Fax(901) 726-0161Mailing LocationMailing Address2225 Union Ave, Suite 100, Memphis, TN 38104-4316Phone(901) 726-1161Fax(901) 726-0161Authorized OfficialNameStegman, Marc H. (President/Partner)Phone(901) 726-1161Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicense19034TennesseeProvider IdentifiersIDDescriptionIssuerID3732740DescriptionMedicaidIssuerUnlistedTennessee