Upper Cumberland Medical Clinic, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

UPPER CUMBERLAND MEDICAL CLINIC, INC.

Practice address

319 Broad St
Baxter, TN 38544-5117

Phone

(931) 858-2116

Fax

(931) 858-2117

NPI assigned

Jul 9, 2018

Last updated

Jul 9, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jacqueline D Swallows, FNP

Title

Nurse Practitioner

Phone

(931) 858-2116

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1003302423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "BAXTER",
            "state": "TN",
            "postal_code": "385440175",
            "telephone_number": "931-858-2116",
            "fax_number": "931-858-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 BROAD ST",
            "city": "BAXTER",
            "state": "TN",
            "postal_code": "385445117",
            "telephone_number": "931-858-2116",
            "fax_number": "931-858-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER CUMBERLAND MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "SWALLOWS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "931-858-2116",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Danielle Phy, COTA/L
• Putnam County Rural Health Clinic, Inc (Baxter Medical Clinic)
• S & K Apothecary Inc. (Nunally Drug Store)
• Jacqueline Lee Swallows, FNP-BC, NP-C
• Hugh Arthur Thompson, DDS
• Upper Cumberland Rural Health Clinic PLLC (Baxter Medical Clinic RHC)
• Wildly Curative (Wildly Curative Counseling)

• Clinic/Center in Baxter, TN
• Providers in Baxter, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.