Individual provider Active NPI

Clara R. Womack, M.D.

  • Nephrology Physician
  • Nashville, TN
National Provider Identifier
1023000999
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
16426 Issued in TN
Practice address
393 Wallace Rd Ste 301
Nashville, TN 37211-4834
Phone
(615) 628-8064
NPI assigned
Aug 17, 2005
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 16426 TN Primary

Addresses

Primary practice location

393 Wallace Rd Ste 301
Nashville, TN 37211-4834

Mailing address

393 Wallace Rd Ste 301
Nashville, TN 37211-4834
Phone (615) 628-8064

Other identifiers 1

IdentifierTypeStateIssuer
3046652MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100630000466 TN Practitioner - Nephrology 9335270602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Tennessee, HSC, College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Kidney Specialists PLCGroup PAC ID 2264671023, 8 clinicians

Practice addresses (Care Compare)

1524 Sparta St
McMinnville, TN 37110-1317
Phone (615) 628-8064

1725 Medical Ctr Pkwy
Suite 210
Murfreesboro, TN 37129-2249
Phone (615) 628-8064

2201 Murphy Ave
Suite 303
Nashville, TN 37203-1895
Phone (615) 628-8064

395 Wallace Rd
Suite 301
Nashville, TN 37211-8023
Phone (615) 628-8064

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Kidney Specialists, PLC Nephrology CurrentSince Apr 8, 2024 Accepting new patients

Locations

2201 Murphy Ave
Ste 303
Nashville, TN 37203
Phone (615) 329-4646

395 Wallace Rd
Ste 301
Nashville, TN 37211
Phone (615) 834-1760

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14509/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/18592/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1023000999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 WALLACE RD STE 301",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114834",
            "telephone_number": "615-628-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 WALLACE RD STE 301",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114834",
            "telephone_number": "615-628-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "CLARA",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "16426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3046652",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.