NPIMap

Organization Active NPI

Cravens Medical Center, PLLC

  • Primary Care Clinic/Center
  • Crossville, TN
National Provider Identifier
1033135900
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
41045 Issued in TN
Legal business name
CRAVENS MEDICAL CENTER, PLLC
Practice address
189 Lantana Rd
Crossville, TN 38555-4902
Phone
(931) 456-0881
Fax
(931) 456-1511
NPI assigned
Jul 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Brian Keith Stubbs
Title
Office Manager
Phone
(931) 456-0881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 41045 TN Primary

Addresses

Primary practice location

189 Lantana Rd
Crossville, TN 38555-4902

Mailing address

PO Box 727
Crossville, TN 38557-0727
Phone (931) 456-0881

National Provider Directory

National Provider Directory

Locations

29 E Stanley St
Crossville, TN 38555
Phone (931) 456-0881

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033135900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385570727",
            "telephone_number": "931-456-0881",
            "fax_number": "931-456-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 LANTANA RD",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554902",
            "telephone_number": "931-456-0881",
            "fax_number": "931-456-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAVENS MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STUBBS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OFFICE  MANAGER",
        "authorized_official_telephone_number": "931-456-0881",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "41045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.