Medical Practice Attorney • Cordova, Tennessee

Medical Practice Attorney in Cordova

By · Managing Partner
Last updated

Physician practice acquisitions carry a regulatory layer that standard business transactions do not. Corporate Practice of Medicine rules, Medicare and Medicaid provider number transfers, Stark Law compliance, and payor credentialing timelines all affect whether a deal closes cleanly and the practice keeps running. Our Cordova medical practice attorneys guide physicians buying and selling practices across Healthcare, Finance, Technology and the healthcare sector, with Managing Partner Alex Lubyansky personally involved in every engagement.

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Selective M&A Practice
Personal Attention
Senior Counsel on Every Deal

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What We Do

Alex Lubyansky handles medical practice acquisition law work for buyers and sellers in Cordova and across the country. Here is what that looks like:

  • Purchase agreement drafting and negotiation for physician practice acquisitions
  • Corporate Practice of Medicine (CPOM) compliance and MSO structuring
  • Medicare and Medicaid provider number transfer and CHOW filing coordination
  • Payor contract assignment, credentialing, and insurance panel transfer
  • Stark Law and Anti-Kickback Statute (AKS) regulatory diligence
  • Physician employment agreement, partnership buy-in, and non-compete negotiation
  • Staged acquisition structuring (51% initial purchase with remainder option)
  • Psychiatry, behavioral health, and specialty practice acquisition counsel

Who We Serve

We work best with people who know what they want and are ready to move:

  • Physicians buying into or acquiring the practice where they currently work
  • Physicians doing a staged buy-in (initial percentage with option for remainder)
  • Medical practice owners selling to a physician group, PE platform, or hospital system
  • Psychiatrists or psychotherapists buying or selling a behavioral health practice
  • Physicians negotiating a partnership buy-in or co-ownership structure
  • Private equity healthcare platforms acquiring physician practices

See If Your Deal Is a Fit

Tell us what you are working on. We respond within one business day.

Your information is kept strictly confidential and will never be shared. Privacy Policy

Our Process

A structured, methodical approach to medical practice acquisition law

1

Regulatory Landscape Review

We assess the CPOM posture, Stark and AKS exposure, CON requirements, and Medicare and Medicaid provider number transfer mechanics for your specific transaction before any term sheet is signed.

2

Deal Structure and MSO Design

Managing Partner Alex Lubyansky structures the acquisition to respect CPOM limits, optimize risk and tax treatment, and where needed designs an MSO or friendly-PC arrangement that preserves clinical independence while delivering the economic deal.

3

Healthcare-Focused Due Diligence

We conduct diligence across payor contracts, Medicare and Medicaid enrollment, compliance program maturity, malpractice history, physician employment agreements, and patient volume concentrations to surface risks before closing.

4

Purchase Agreement and Ancillary Documents

We negotiate the purchase agreement, physician employment or non-compete terms, transition services arrangement, and earnout provisions tied to clinical performance metrics specific to the practice type.

5

Closing and Clinical Continuity

We coordinate CHOW filings, payor credentialing timelines, and post-closing integration to ensure patient care and reimbursement continue without interruption from day one of your ownership.

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What Happens After You Submit

We don't take every matter. Here is what happens when you reach out.

1

Personal Review (Within 24 Hours)

Alex reviews your transaction details personally. No intake coordinators, no junior associates screening your submission.

2

Fit Assessment

We evaluate whether your deal aligns with our practice. Not every matter is a fit, and we will tell you directly if it is not.

3

Initial Conversation

If there is alignment, Alex schedules a direct call to discuss your transaction, timeline, and objectives.

4

Clear Engagement Terms

Before any work begins, you receive a written engagement letter with defined scope, timeline, and fee structure. No surprises.

Request Your Cordova Engagement Assessment

Alex Lubyansky handles every medical practice acquisition law engagement personally.

15+ years of M&A experience. Nationwide. One attorney on every deal.

Request Engagement Assessment

We review every transaction inquiry within one business day.

Your information is kept strictly confidential and will never be shared. Privacy Policy

Questions to Ask Any M&A Attorney Before Hiring

Use these before you call any firm, including ours.

1. "Who will actually handle my transaction?"

At many firms, a partner sells the work and a junior associate does it. Ask for the name of the attorney who will draft and negotiate your documents.

2. "How many M&A transactions has the lead attorney closed in the past 12 months?"

Volume indicates current, active deal experience, not just credentials from years ago.

3. "What is your experience with my deal size and industry?"

A $500K SBA acquisition and a $50M PE deal require different skill sets. Make sure the attorney has handled transactions similar to yours.

4. "Will you coordinate with my CPA, financial advisor, and broker?"

M&A transactions require a team. Your attorney should work with your other advisors, not in a silo.

5. "How do you handle post-closing disputes?"

Reps, warranties, and indemnification claims surface months after closing. Ask whether the firm handles post-closing litigation or refers it out.

6. "What is your fee structure, and what drives cost?"

Ask how the engagement is scoped, what is included, and what factors drive cost increases. Defined scope with a retainer gives the clearest cost picture.

Frequently Asked Questions

Common questions from Cordova clients

What does a medical practice attorney do?
A medical practice attorney handles the legal and regulatory side of buying or selling a physician practice. This includes structuring the deal to comply with Corporate Practice of Medicine rules, conducting diligence on payor contracts and Medicare enrollment, negotiating the purchase agreement and physician employment terms, and coordinating provider number transfers. At Acquisition Stars, Managing Partner Alex Lubyansky personally handles every physician practice transaction.
What is a staged acquisition of a medical practice?
A staged acquisition is a common structure where the buyer acquires an initial ownership percentage, often 51%, with a contractual right or obligation to purchase the remaining interest over time. This structure lets the buyer begin building equity while the seller transitions gradually, and it can align incentives around patient retention and practice performance. The legal documents must carefully address buy-in price, trigger conditions, and each party's rights during the interim period.
How does Corporate Practice of Medicine affect a physician practice acquisition?
Most states restrict ownership of medical practices to licensed physicians. When a non-physician buyer is involved, the deal typically requires a Management Services Organization structure that separates the clinical entity from the business operations. In strong CPOM states, the structure must hold up under state scrutiny while still delivering the economic deal the parties negotiated. We design structures that work in your specific state.
What happens to Medicare and Medicaid enrollment when a practice is sold?
Medicare and Medicaid provider numbers and enrollment do not automatically transfer to a new owner. Depending on the transaction structure, the buyer may need to file a Change of Ownership (CHOW) with CMS, apply for new enrollment, or reassign billing privileges. The timing of these filings directly affects cash flow after closing. We build the provider number transition into the deal timeline so reimbursement does not stall.
Can a physician buy the practice they currently work at?
Yes, and it is one of the most common physician practice transactions we handle. The physician already knows the patient base, the payor mix, and the operations, which simplifies due diligence but creates its own negotiating dynamics. Key issues include how the practice is valued relative to the physician's existing compensation, how a transition period is structured if the selling physician stays on, and how non-compete terms are written to reflect the physician's prior relationship with the practice.
What can I expect during an initial consultation in Cordova?
During your confidential initial consultation in Cordova, we'll discuss your medical practice acquisition law needs, review your current situation, assess potential challenges specific to Tennessee, and outline a clear path forward. We'll explain our process, answer your questions, and determine if we're the right fit for your needs.
Do you work with companies outside of Cordova?
Yes, we represent clients nationwide while maintaining a strong presence in Cordova. Our managing partner handles medical practice acquisition law matters across all 50 states, coordinating with local counsel where state-specific requirements apply.

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M&A Market: Cordova & the Memphis Metro

Memphis's M&A market is defined by its status as America's logistics capital, home to FedEx's global hub and one of the nation's busiest cargo airports and inland ports. This logistics infrastructure has spawned hundreds of warehousing, freight brokerage, and third-party logistics companies in the $2M-$30M range that are prime acquisition targets. Beyond logistics, Memphis drives deal activity in healthcare (St. Jude Children's Research Hospital, Methodist Le Bonheur), food and agriculture, and a growing music and entertainment services sector.

Top M&A Sectors Near Cordova

  • Logistics, Freight & 3PL Services
  • Healthcare & Medical Devices
  • Food Processing & Distribution
  • Manufacturing & Industrial Services
  • Music, Entertainment & Media

Deal Environment

Memphis offers strong deal flow in logistics and distribution, with the FedEx ecosystem creating a continuous pipeline of founder-owned businesses reaching acquisition scale. Healthcare deals are competitive due to institutional buyer interest, but logistics and industrial businesses trade at reasonable multiples with predictable cash flows.

Why Acquire in the Memphis Area

Memphis's logistics infrastructure is a moat: acquiring a distribution or freight business here means access to FedEx's global hub, four Class I railroads, and America's fourth-largest inland port, creating operational advantages that are nearly impossible to replicate. Tennessee's lack of state income tax on wages adds immediate bottom-line value to acquisitions.

Tennessee Legal Considerations

Tennessee enforces non-compete agreements under a reasonableness analysis and recently enacted the Tennessee Lawful Employment Act requiring E-Verify compliance, which acquirers must factor into workforce due diligence; the state has no bulk sales act, but Tennessee's franchise and excise tax obligations transfer with going-concern business sales and require careful clearance.

Tennessee Legal Considerations for Medical Practice Acquisition Law

Non-Compete Laws

Enforceable with blue-pencil available. Independent consideration required post-hire.

Filing Requirements

Entity mergers and conversions must be filed with the Tennessee Secretary of State. Annual reports are required. The Department of Revenue handles franchise and excise tax registrations.

Key Tennessee Considerations

  • Tennessee's franchise tax has a net worth component that can create significant tax liability for capital-intensive acquisitions, and recent litigation has challenged its constitutionality
  • Tennessee has no personal income tax, which benefits pass-through entity acquisitions where owners are Tennessee residents
  • Nashville's growth as a healthcare industry hub creates active M&A markets with specific regulatory requirements for healthcare entity transactions

Tennessee Bar Authority

Tennessee Bar Association. Voluntary bar. The Tennessee Supreme Court handles attorney admission separately via the Board of Law Examiners.

Bar association website

Tennessee Federal and Business Courts

Federal districts: E.D. Tenn., M.D. Tenn., W.D. Tenn.

Business court: Tennessee Chancery Court Business Court Docket (established 2015) Business court docket operates within the Davidson County Chancery Court (Nashville) and Shelby County Chancery Court (Memphis). Tennessee chancery courts historically have equity jurisdiction over business matters.

Tennessee M&A Market Context

Nashville drives Tennessee M&A across healthcare services, music and entertainment, hospitality, and technology; Memphis generates deal flow in logistics, distribution, and healthcare.

Watchpoints

Common Cordova Medical Practice Acquisition Law Pitfalls

These are the items we see derail medical practice acquisition law transactions in the Cordova market. Each one is rooted in current statutory law, recent legislative changes, or recurring patterns from the deals Alex has handled.

1

Tennessee non-compete enforcement and earn-out exposure

State legal framework

Enforceable with blue-pencil available. Independent consideration required post-hire.

"The seller isn't your enemy, but their interests aren't aligned with yours."
Alex Lubyansky · Alex LinkedIn Published (Notion library)
2

Tennessee regulatory framework attorneys flag at LOI

State statute

Securities regulated by Tennessee Department of Commerce and Insurance Securities Division (tn.gov/commerce/securities). Blue Sky notice filings required for Reg D.

3

Common medical practice acquisition law mistake from the field

From Alex Lubyansky

Non-binding is just a phrase. It does not guarantee a frictionless process down the line. An LOI can absolutely structure the entire future of a deal even when the document explicitly says non-binding. If counsel comes in later in the game, the LOI is already there, and parties will anchor to it. Whether or not you were involved in the drafting. Whether or not you were involved in the negotiation. They will anchor to that document. And when deals blow up, fingers get pointed at the LOI's terms. The phrase non-binding sets a buyer's expectations. The substance of the document sets the deal. Those two things are different, and the gap between them is where deals get expensive.

Guides and Resources

In-depth guides to help you prepare for your transaction

M&A Legal Services

Full-service M&A counsel from letter of intent through closing.

Read guide

Due Diligence Checklist

A structured approach to legal, financial, and operational due diligence.

Read guide

LOI vs Purchase Agreement

Understanding the binding and non-binding elements of each document.

Read guide

Why Deals Fail

Common deal-killers and how experienced counsel helps prevent them.

Read guide

Other Medical Practice Attorney Service Areas Near Cordova

Acquisition Stars represents clients across Tennessee and nationwide. Alex Lubyansky handles every engagement personally.

Germantown medical practice attorneymedical practice attorney in Colliervillemedical practice attorney in Lakelandserving EadsArlington medical practice attorneyserving Bartlettmedical practice attorney in Olive BranchSouthaven medical practice attorney

Don't see your city? View all Medical Practice Attorney service areas or contact us directly.

Related Services in Cordova

Statewide and Nearby Markets

Helpful Resources

Attorney perspective on medical practice attorney matters in Cordova

Alex Lubyansky, Managing Partner at Acquisition Stars
"There needs to be a qualification process on the front end. Not just for attorneys who have a billable hour and need to justify their time. For everybody. Brokers don't get paid hourly, but they have a financial incentive and they shouldn't waste time on someone completely unqualified either. I get ten to twenty emails every week from people who are clearly tire kickers. No actual intent. No funding. Nothing in place that would indicate a serious pathway. So my first qualifier is simple. Do you have financing lined up. Are you a cash buyer. Is there an SBA loan. It's not because I don't think they can afford my legal fee. It's because I don't think they're serious. If I can figure that out early, it saves both of us time and pain. There's a lot of information on the internet. If you have no funding and no target criteria and don't know what you're buying, it's way too early to engage a professional."
Alex Lubyansky, Senior Counsel On alignment (advisory) (Leo Landaverde M&A Podcast)

15+ years of M&A and securities transaction experience Senior counsel on every engagement Admitted in Michigan, practicing nationwide

Reviewed by Alex Lubyansky on . Read full bio

Ready to Talk About Your Cordova Deal?

Alex Lubyansky handles every engagement personally. Tell us about your transaction and we will let you know if there is a fit.

Request Engagement Assessment

Tell us about your deal. We review every submission and respond within one business day.

Your information is kept strictly confidential and will never be shared. Privacy Policy

One attorney on every deal. Nationwide. 15+ years of M&A experience.