Center for Pulmonary & Sleep Medicine, PLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

34189 Issued in TN

Legal business name

CENTER FOR PULMONARY & SLEEP MEDICINE, PLC

Practice address

298 Clear Sky CT
Ste B
Clarksville, TN 37043-5685

Phone

(931) 542-2647

Fax

(931) 542-2648

NPI assigned

Feb 2, 2011

Last updated

Feb 2, 2011By 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

Dr. Sriram Krishnasamy, M.D.NPI 1114024908

Title

Sole Member

Phone

(931) 542-2647

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19502/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• Sriram Krishnasamy, M.D.

  • Pulmonary Disease Physician
  • Clarksville, TN
  • NPI 1114024908

  Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1033415476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30805",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370400014",
            "telephone_number": "931-542-2647",
            "fax_number": "931-542-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 CLEAR SKY CT",
            "address_2": "STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435685",
            "telephone_number": "931-542-2647",
            "fax_number": "931-542-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PULMONARY & SLEEP MEDICINE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "KRISHNASAMY",
        "authorized_official_first_name": "SRIRAM",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "931-542-2647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "34189",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "34189",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "34189",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "34189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iysha Cawthon
• Matthew Cecilio, COTA
• Cedar Ridge Critical Care Medical Group PC
• Center for Audiology, PC
• Center for Neurological Treatment & Research, PLLC
• Center for Pulmonary and Critical Care Medicine, PLC
• Centerstone
• Centerstone
• Centerstone
• Centerstone

• Pulmonary Disease Physician in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Pulmonary Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.