Individual provider Active NPI

Aruna Devi Amara Thati, M.D.

  • Family Medicine Physician
  • Clarksville, TN
National Provider Identifier
1073570297
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0000036763 Issued in TN
Practice address
1832 Memorial Dr
Clarksville, TN 37043-6311
Phone
(931) 645-3552
NPI assigned
May 1, 2006
Last updated
Apr 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0000036763 TN Primary
Family Medicine Physician 207Q00000X 040253 CT

Addresses

Primary practice location

1832 Memorial Dr
Clarksville, TN 37043-6311

Mailing address

1832 Memorial Dr
Clarksville, TN 37043-6311
Phone (931) 645-3552

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
I20050208001020 TN Practitioner - Family Practice 9638132335 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36763TNMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
040253CTMDFamily Medicine Physician
0000036763TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rolling Hills Hospital LLC CurrentSince Dec 20, 2024 Accepting new patients
Advanced Diagnostic Imaging PC Past Accepting new patients

Locations

2010 Quail Hollow Cir
Franklin, TN 37067
Phone (615) 807-4020

2014 Quail Hollow Cir
Franklin, TN 37067
Phone (615) 250-6700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1073570297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 MEMORIAL DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436311",
            "telephone_number": "931-645-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 MEMORIAL DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436311",
            "telephone_number": "931-645-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THATI",
        "first_name": "ARUNA DEVI",
        "middle_name": "AMARA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "0000036763",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "040253",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.